Healthcare Provider Details
I. General information
NPI: 1073350757
Provider Name (Legal Business Name): DAO ORTHODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2024
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20250 E SMOKY HILL RD UNIT 6
CENTENNIAL CO
80015-3118
US
IV. Provider business mailing address
20250 E SMOKY HILL RD UNIT 6
CENTENNIAL CO
80015-3118
US
V. Phone/Fax
- Phone: 303-228-3350
- Fax: 303-228-3990
- Phone: 303-228-3350
- Fax: 303-228-3990
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CUONG
D
DAO
Title or Position: OWNER DENTIST
Credential: DDS, MSD
Phone: 989-327-0323