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General NPI Number Information
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NPI Number | 1366085292
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Entity Type | Organization
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Legal Business Name | ESPIRE DENTAL PRACTICE, LLC
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 8080 E UNION AVENUE SUITE 140
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City | DENVER
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State | CO
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Zip | 80237-3614
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Country | US
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Telephone | 303-745-3182
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Fax | 720-724-9000
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Provider Business Mailing Address
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Address Line | 7995 E. PRENTICE AVENUE SUITE 211
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2713
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Country | US
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Telephone | 720-699-8206
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Fax | 720-724-9000
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MS. BROOKE YOUNG
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Credential |
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Telephone | 720-810-6443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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