SOUTH FEDERAL DENTAL GP PC NPI 1386706430

NPI Information

  • NPI: 1386706430
  • Provider Name: SOUTH FEDERAL DENTAL GP PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1601 SO FEDERAL BLVD
    SUITE 201
    DENVER, CO
    ZIP 80219
  • Phone: (303) 934-0232

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NPI Details

SOUTH FEDERAL DENTAL GP PC 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. SOUTH FEDERAL DENTAL GP PC NPI is 1386706430. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1601 SO FEDERAL BLVD
SUITE 201
DENVER, CO
ZIP 80219
Phone: (303) 934-0232
Fax: (303) 934-2208

The provider's authorized official is Dale L Farmer .
The authorized official title is President and has the following contact phone number (303) 934-0232.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 8/22/2020.

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 Practice105415COLORADOYes

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
104001301MEDICAIDCOLORADO

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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