Healthcare Provider Details

I. General information

NPI: 1952887481
Provider Name (Legal Business Name): ERIN M BINGHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2018
Last Update Date: 07/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2465 S DOWNING ST
DENVER CO
80210-5822
US

IV. Provider business mailing address

7732 S VINE ST
CENTENNIAL CO
80122-3137
US

V. Phone/Fax

Practice location:
  • Phone: 303-733-3710
  • Fax: 303-214-7710
Mailing address:
  • Phone: 602-686-6276
  • Fax: 303-277-7710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH.002024748
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: