Healthcare Provider Details

I. General information

NPI: 1700543477
Provider Name (Legal Business Name): A&C VENTURES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 11/17/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 S 88TH ST STE B
LOUISVILLE CO
80027-9459
US

IV. Provider business mailing address

517 176TH AVE
BROOMFIELD CO
80023-5217
US

V. Phone/Fax

Practice location:
  • Phone: 303-666-0800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLY WARDEN
Title or Position: OWNER/ORTHODONTIST
Credential: DDS, MS
Phone: 248-245-4716