Healthcare Provider Details
I. General information
NPI: 1376068569
Provider Name (Legal Business Name): BENDER AND CALLENDER DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2017
Last Update Date: 07/21/2022
Certification Date: 12/22/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7207 GRANDVIEW AVE
ARVADA CO
80002-2505
US
IV. Provider business mailing address
7207 GRANDVIEW AVE
ARVADA CO
80002-2505
US
V. Phone/Fax
- Phone: 303-422-3655
- Fax: 303-422-3776
- Phone: 303-422-3655
- Fax: 303-422-3776
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CLAIRE-MARIE
BENDER
Title or Position: MANAGER
Credential: DMD
Phone: 303-422-3655