GOVERNOR'S PARK DENTAL GROUP NPI 1245256643

NPI Information

  • NPI: 1245256643
  • Provider Name: GOVERNOR'S PARK DENTAL GROUP
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 700 E 9TH AVE
    SUITE 102
    DENVER, CO
    ZIP 80203
  • Phone: (303) 832-7789

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NPI Details

GOVERNOR'S PARK DENTAL GROUP is a general practice dentist in Denver, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. GOVERNOR'S PARK DENTAL GROUP NPI is 1245256643. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 E 9TH AVE
SUITE 102
DENVER, CO
ZIP 80203-360
Phone: (303) 832-7789
Fax: (303) 832-0427

The provider's authorized official is Terry L Brewick .
The authorized official title is Owner and has the following contact phone number (303) 832-7789.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 10/17/2007.

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
11223G0001XDentistGeneral Practice105046COLORADOYes

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
1105046OTHERCOLORADOCOLORADO DENTAL LISC #

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: 3/30/2025

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