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General NPI Number Information
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NPI Number | 1568473858
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Entity Type | Organization
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Legal Business Name | DENTAL AID, INC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 10/15/2020
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Provider Practice Location Address
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Address Line | 877 E. SOUTH BOULDER ROAD
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City | LOUISVILLE
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State | CO
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Zip | 80027
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Country | US
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Telephone | 303-665-8228
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Fax | 303-200-7375
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Provider Business Mailing Address
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Address Line | 877 E SOUTH BOULDER RD STE 200
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City | LOUISVILLE
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State | CO
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Zip | 80027-1345
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Country | US
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Telephone | 303-655-8228
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Fax | 303-200-7375
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. NATASIA MAXWELL
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Credential |
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Telephone | 303-665-8228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | CO
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