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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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