MEDICARE: ARIOLA-TIRELLA & ASSOCIATES

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	1223G0001X	General Practice Dentistry	9782	CO

General Provider Information

NPI Number	:	1497068811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIOLA-TIRELLA & ASSOCIATES

Provider Business Mailing Address
First Line	:	6449 EAST 123RD PLACE
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80602
Country	:	US
Telephone Number	:	303-910-7981
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 WADSWORTH BLVD STE 102
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80003-2767
Country	:	US
Telephone Number	:	303-910-7981
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NOAH ARIOLA-TIRELLA
Credential	:	DDS
Telephone Number	:	303-910-7981

Provider Enumeration Date	:	07/15/2010
Last Update Date	:	02/11/2022

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