Healthcare Provider Details

I. General information

NPI: 1053241596
Provider Name (Legal Business Name): MAKAYLA BENDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8925 RIDGELINE BLVD STE 110
HIGHLANDS RANCH CO
80129-2502
US

IV. Provider business mailing address

8925 RIDGELINE BLVD STE 110
HIGHLANDS RANCH CO
80129-2502
US

V. Phone/Fax

Practice location:
  • Phone: 303-470-0500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00206649
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: