Healthcare Provider Details

I. General information

NPI: 1215113402
Provider Name (Legal Business Name): TOTAL ORAL PREVENTION STRATEGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3216 HIGH ST
DENVER CO
80205-4062
US

IV. Provider business mailing address

3216 HIGH ST
DENVER CO
80205-4062
US

V. Phone/Fax

Practice location:
  • Phone: 970-394-0231
  • Fax:
Mailing address:
  • Phone: 970-394-0231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MAJOR W. TAPPAN
Title or Position: EXECUTIVE DIRECTOR
Credential: DDS
Phone: 303-394-0231