Healthcare Provider Details

I. General information

NPI: 1912090952
Provider Name (Legal Business Name): MARIETTA CUIFFO-MORADI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIETTA CUIFFO DDS

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 06/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 W MINERAL AVE SUITE #150
LITTLETON CO
80120-5696
US

IV. Provider business mailing address

91 W MINERAL AVE SUITE #150
LITTLETON CO
80120-5696
US

V. Phone/Fax

Practice location:
  • Phone: 303-738-9499
  • Fax: 303-738-9540
Mailing address:
  • Phone: 303-738-9499
  • Fax: 303-738-9540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7772
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0423791
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: