Healthcare Provider Details

I. General information

NPI: 1902313240
Provider Name (Legal Business Name): DP ASSISTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2018
Last Update Date: 01/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1279 SALEM ST.
AURORA CO
80011
US

IV. Provider business mailing address

1279 SALEM ST.
AURORA CO
80011
US

V. Phone/Fax

Practice location:
  • Phone: 303-815-4508
  • Fax:
Mailing address:
  • Phone: 303-815-4508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License NumberSA0001568
License Number StateCO

VIII. Authorized Official

Name: DENNIS PAIGE PAIGE
Title or Position: CERTIFIED SURGICAL FIRST ASSISTANT
Credential: CSFA
Phone: 303-815-4708