Organization
SUMMIT SMILES PLLC
Active
Other names
Advanced Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LYDIATT DDS (OWNER)
(303) 426-4860
Entity
Organization
Contact information
Practice address
1557 W 84TH AVE STE 1, FEDERAL HEIGHTS, CO 80260-4780
(303) 426-4860
(303) 426-1530
Mailing address
1557 W 84TH AVE STE 1, FEDERAL HEIGHTS, CO 80260-4780
(303) 426-4860
(303) 426-1530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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