Organization
LANDMARK DENTAL STUDIO LLC
Active
Other names
Landmark Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN SCOTT MICKLE DDS (DENTIST/PARTNER)
(303) 505-1015
Entity
Organization
Contact information
Practice address
5425 LANDMARK PL STE 307, GREENWOOD VILLAGE, CO 80111-1951
(303) 773-8012
(720) 367-1011
Mailing address
5425 LANDMARK PL STE 307, GREENWOOD VILLAGE, CO 80111-1951
(303) 773-8012
(720) 367-1011
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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