Healthcare Provider Details

I. General information

NPI: 1174235840
Provider Name (Legal Business Name): CHAMBERS CHOICE DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2022
Last Update Date: 12/14/2022
Certification Date: 12/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5616 S GIBRALTAR WAY UNIT E
CENTENNIAL CO
80015-5305
US

IV. Provider business mailing address

5616 S GIBRALTAR WAY UNIT E
CENTENNIAL CO
80015-5305
US

V. Phone/Fax

Practice location:
  • Phone: 303-321-4445
  • Fax:
Mailing address:
  • Phone: 303-321-4445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIE ROMERO
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 303-321-4445