Organization
PRIMARY DENTAL LLC
Active
Other names
Primary Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHADWICK N WILLIAMSON DDS (SOLE OWNER)
(303) 433-1239
Entity
Organization
Contact information
Practice address
5801 W. 44TH AVE, UNIT C, DENVER, CO 80212
(303) 433-1239
(303) 455-5317
Mailing address
5801 W. 44TH AVE., UNIT C, DENVER, CO 80212
(303) 433-1239
(303) 455-5317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68728816
—
CO
Enumeration date
03/07/2007
Last updated
11/20/2015
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