Healthcare Provider Details

I. General information

NPI: 1073317574
Provider Name (Legal Business Name): ANA CAROLINA B NASCIMENTO DA SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 E 48TH AVE
DENVER CO
80216-2253
US

IV. Provider business mailing address

4725 HIGH ST
DENVER CO
80216-2220
US

V. Phone/Fax

Practice location:
  • Phone: 303-458-5302
  • Fax: 303-433-7452
Mailing address:
  • Phone: 303-458-5302
  • Fax: 303-433-7452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00206763
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDEN.00206763
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: