Healthcare Provider Details
I. General information
NPI: 1265397517
Provider Name (Legal Business Name): THE ARVADA DENTISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7375 RALSTON RD
ARVADA CO
80002-2521
US
IV. Provider business mailing address
2190 E 17TH AVE
DENVER CO
80206-1126
US
V. Phone/Fax
- Phone: 303-731-2005
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CARRIE
HOFFMAN
Title or Position: PRACTICE MANAGER
Credential:
Phone: 303-956-8269