Summit Smiles Pllc
NPI #1013662774 in Centennial, Colorado
Provider Information
- NPI Number
- 1013662774
- Entity Type
- Organization
- Organization Name
- Summit Smiles Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUMMIT SMILES PLLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 21, 2022
- Last Updated
- Sep 7, 2022
Practice Location
- Address
- 7300 E ARAPAHOE RD STE 500
- City
- Centennial
- State
- Colorado
- ZIP Code
- 80112-6147
- Phone
- (720) 638-6361
Authorized Official
- Name
- DR. JOHN LYDIATT, DDS
- Title
- OWNER
- Phone
- (720) 638-6361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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