Organization
MOUNTAIN DENTAL ANESTHESIA LLC
Active
Organization
MOUNTAIN DENTAL ANESTHESIA LLC
Active
Other names
Sunshine Dental Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RUSSELL YANCEY DDS (DENTIST ANESTHESIOLOGIST)
(317) 459-0738
Entity
Organization
Contact information
Practice address
8683 E LINCOLN AVE STE 130, LONE TREE, CO 80124-9812
(317) 459-0738
Mailing address
12548 N 4TH ST, PARKER, CO 80134-9458
(317) 459-0738
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/11/2025
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