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General NPI Number Information
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NPI Number | 1639031347
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Entity Type | Organization
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Legal Business Name | COLUMBINE CREEK DENTISTRY GPS PLLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 4760 W MINERAL AVE STE 60
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City | LITTLETON
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State | CO
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Zip | 80128-2540
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Country | US
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Telephone | 720-222-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 4760 W MINERAL AVE STE 60
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City | LITTLETON
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State | CO
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Zip | 80128-2540
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DDS
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Name | WILLIAM LITTLE
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Credential |
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Telephone | 720-222-2345
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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 |
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