Healthcare Provider Details

I. General information

NPI: 1518017151
Provider Name (Legal Business Name): ACCORD ENTERPRISES PROFESSIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 S ONEIDA ST STE 321
DENVER CO
80224
US

IV. Provider business mailing address

2121 S ONEIDA ST STE 321
DENVER CO
80224
US

V. Phone/Fax

Practice location:
  • Phone: 303-796-8767
  • Fax:
Mailing address:
  • Phone: 303-796-8767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNY GARCIA-ROCHA
Title or Position: PAYER ENROLLMENT MANAGER
Credential:
Phone: 972-869-3789