DENTISTRY360 NPI 1235499294

NPI Information

NPI: 1235499294
Provider Name: DENTISTRY360
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5140 W DARTMOUTH AVE
DENVER, CO
ZIP 80236
Phone: (720) 596-4760
Get Directions

DENTISTRY360 is a dental clinic center in Denver, CO. DENTISTRY360 NPI is 1235499294. The provider is registered as an organization entity type.

The provider's business location address is:

5140 W DARTMOUTH AVE
DENVER, CO
ZIP 80236-007
Phone: (720) 596-4760
Fax: (720) 596-4943

The provider's authorized official is Semi Condoianis .
The authorized official title is Owner and has the following contact phone number (214) 693-4022.

The enumeration date for this NPI number is 5/24/2012 and was last updated on 5/24/2012.

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
1	261QD0000X	Clinic/Center	Dental	10276	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	58206051	MEDICAID	COLORADO

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: 4/28/2024

NPI Synchronization or Removal

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