MEDICARE: ACCORD ENTERPRISES PROFESSIONAL LLC

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

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	:	1518017151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCORD ENTERPRISES PROFESSIONAL LLC

Provider Business Mailing Address
First Line	:	2121 S ONEIDA ST
Second Line	:	STE 321
City	:	DENVER
State	:	CO
Zip	:	80224
Country	:	US
Telephone Number	:	303-796-8767
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 S ONEIDA ST
Second Line	:	STE 321
City	:	DENVER
State	:	CO
Zip	:	80224
Country	:	US
Telephone Number	:	303-796-8767
Fax Number	:

Authorized Official
Title or Position	:	PAYER ENROLLMENT MANAGER
Name	:	DR. JENNY GARCIA-ROCHA
Credential	:
Telephone Number	:	972-869-3789

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	12/09/2025

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Directions to “ACCORD ENTERPRISES PROFESSIONAL LLC ” Practice Location

Language	Start Address	Practice Location

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