MEDICARE: COMPOSITE WHISPERER, 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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1972154607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPOSITE WHISPERER, PLLC

Provider Business Mailing Address
First Line	:	905 W 124TH AVE STE 120
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-1718
Country	:	US
Telephone Number	:	303-744-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 W 124TH AVE STE 120
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-1718
Country	:	US
Telephone Number	:	303-744-5000
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	THOMAS REED
Credential	:	DDS
Telephone Number	:	202-744-5000

Provider Enumeration Date	:	09/24/2019
Last Update Date	:	09/24/2019

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