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NPI Code Detail

MEDICARE: COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC

MEDICARE: COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1457934671
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC
Provider Business Mailing Address
First Line : 10461 PARK MEADOWS DR STE 101
Second Line :
City : LONE TREE
State : CO
Zip : 80124-5310
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10461 PARK MEADOWS DR STE 101
Second Line :
City : LONE TREE
State : CO
Zip : 80124-5310
Country : US
Telephone Number : 303-534-2626
Fax Number :
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : MICHELLE JOHNSON
Credential :
Telephone Number : 509-315-8338
Provider Enumeration Date : 05/05/2021
Last Update Date : 05/05/2021

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Directions to “COLORADO DENTAL ORTHODONTIST PRACTICE, PLLC ” Practice Location

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