Lone Tree Modern Dental, Professional

NPI #1396147492 in Lone Tree, Colorado

Provider Information

NPI Number: 1396147492
Entity Type: Organization
Organization Name: Lone Tree Modern Dental, Professional
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 19, 2014
Last Updated: Sep 19, 2014

Practice Location

Address: 9227 E LINCOLN AVE
Address 2: SUITE #800
City: Lone Tree
State: Colorado
ZIP Code: 80124-5506
Phone: (720) 943-2153

Authorized Official

Name: AMANDA HALLINAN, DMD
Title: ASSOCIATE
Phone: (720) 943-2153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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