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NPI Code Detail

MEDICARE: CHAMBERS CHOICE DENTISTRY PLLC

MEDICARE: CHAMBERS CHOICE DENTISTRY PLLC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1174235840
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHAMBERS CHOICE DENTISTRY PLLC
Provider Business Mailing Address
First Line : 5616 S GIBRALTAR WAY UNIT E
Second Line :
City : CENTENNIAL
State : CO
Zip : 80015-5305
Country : US
Telephone Number : 303-321-4445
Fax Number :
Provider Business Practice Location Address
First Line : 5616 S GIBRALTAR WAY UNIT E
Second Line :
City : CENTENNIAL
State : CO
Zip : 80015-5305
Country : US
Telephone Number : 303-321-4445
Fax Number :
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : MARIE ROMERO
Credential :
Telephone Number : 303-321-4445
Provider Enumeration Date : 12/14/2022
Last Update Date : 12/14/2022

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Directions to “CHAMBERS CHOICE DENTISTRY PLLC ” Practice Location

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