MEDICARE: CARE SMILES ORTHODONTICS

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	122300000X	Dentist	9021	CO
2	1223G0001X	General Practice Dentistry	9021	CO
3	1223P0300X	Periodontics	9021	CO
4	122300000X	Dentist	10242	CO
5	1223G0001X	General Practice Dentistry	10242	CO
6	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	9021	CO

General Provider Information

NPI Number	:	1760661979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE SMILES ORTHODONTICS

Provider Business Mailing Address
First Line	:	1344 S CHAMBERS RD
Second Line	:	SUITE 104
City	:	AURORA
State	:	CO
Zip	:	80017-4096
Country	:	US
Telephone Number	:	303-337-2999
Fax Number	:

Provider Business Practice Location Address
First Line	:	1344 S CHAMBERS RD
Second Line	:	SUITE 104
City	:	AURORA
State	:	CO
Zip	:	80017-4096
Country	:	US
Telephone Number	:	303-337-2999
Fax Number	:

Authorized Official
Title or Position	:	ORTHODONTIST/PERIODONTIST
Name	:	DR. HOANG T NGUYEN
Credential	:	DDS, MS
Telephone Number	:	303-337-2999

Provider Enumeration Date	:	10/24/2007
Last Update Date	:	11/13/2012

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Directions to “CARE SMILES ORTHODONTICS ” Practice Location

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