MEDICARE: HAMPDEN DENTISTRY & ORTHODONTICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	7924	CO

General Provider Information

NPI Number	:	1023240975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMPDEN DENTISTRY & ORTHODONTICS

Provider Business Mailing Address
First Line	:	9250 E HAMPDEN AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5413
Country	:	US
Telephone Number	:	303-254-8888
Fax Number	:	303-930-8828

Provider Business Practice Location Address
First Line	:	9250 E HAMPDEN AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5413
Country	:	US
Telephone Number	:	303-254-8828
Fax Number	:	303-254-8827

Authorized Official
Title or Position	:	FRONT OFFICE COORDINATOR
Name	:	KATHY HEPOLA
Credential	:
Telephone Number	:	303-930-8888

Provider Enumeration Date	:	08/11/2009
Last Update Date	:	03/31/2021

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Directions to “HAMPDEN DENTISTRY & ORTHODONTICS ” Practice Location

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