MEDICARE: TOTAL ORAL PREVENTION STRATEGIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223D0001X	Public Health Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215113402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL ORAL PREVENTION STRATEGIES

Provider Business Mailing Address
First Line	:	3216 HIGH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4062
Country	:	US
Telephone Number	:	970-394-0231
Fax Number	:

Provider Business Practice Location Address
First Line	:	3216 HIGH ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4062
Country	:	US
Telephone Number	:	970-394-0231
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. MAJOR W. TAPPAN
Credential	:	DDS
Telephone Number	:	303-394-0231

Provider Enumeration Date	:	01/17/2008
Last Update Date	:	01/17/2008

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