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NPI Code Detail

MEDICARE: CARE SMILES ORTHODONTICS

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
1122300000XDentist9021CO
2122300000XDentist10242CO
31223G0001XGeneral Practice Dentistry9021CO
41223G0001XGeneral Practice Dentistry10242CO
51223P0300XPeriodontics9021CO
61223X0400XOrthodontics and Dentofacial Orthopedics Dentistry9021CO

General Provider Information

NPI Number : 1780928564
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 : 1930 S FEDERAL BLVD
Second Line : BUILDING C
City : DENVER
State : CO
Zip : 80219-5501
Country : US
Telephone Number : 303-337-2999
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : HOANG NGUYEN
Credential :
Telephone Number : 303-652-7632
Provider Enumeration Date : 11/19/2012
Last Update Date : 11/19/2012

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Directions to “CARE SMILES ORTHODONTICS ” Practice Location

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