Overview
Name: MOUNTAIN DENTAL ANESTHESIA LLC
Specialty: Dentist Anesthesiologist
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Dental Providers
Classification: Dentist
Specialization: Dentist Anesthesiologist.
Definition of Specialty: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: MOUNTAIN DENTAL ANESTHESIA LLC,9233 PARK MEADOWS DR,LONE TREE,CO,801245697,US
Mailing Address: MOUNTAIN DENTAL ANESTHESIA LLC,12548 N 4TH ST,PARKER,CO,801349458,US
Contact #
Practice location phone #: 3174590738
Practice location fax #:
Mailing address Phone #: 3174590738
Mailing Address fax #:
Authorized official Name/Telephone #:JOHN, RUSSELL, YANCEY, DDS, DENTIST ANESTHESIOLOGIST 3174590738
Misc
Date NPI was obtained: 09/10/2021
Last data data was updated: 09/21/2021
Insurances: