FAMILY DENTISTRY NPI 1104186501

NPI Information

  • NPI: 1104186501
  • Provider Name: FAMILY DENTISTRY
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Address: 1756 VINE ST
    DENVER, CO
    ZIP 80206
  • Phone: (303) 322-1177

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NPI Details

FAMILY DENTISTRY is a public health or welfare in Denver, CO. FAMILY DENTISTRY NPI is 1104186501. The provider is registered as an organization entity type.

The provider's business location address is:

1756 VINE ST
DENVER, CO
ZIP 80206-120
Phone: (303) 322-1177
Fax: (303) 322-1199

The provider's authorized official is Collis Johnson .
The authorized official title is Owner/dentist and has the following contact phone number (303) 322-1177.

The enumeration date for this NPI number is 5/21/2012 and was last updated on 5/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or Welfare104176COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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