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GREEN GABLES DENTAL LLC NPI 1508376906


NPI Information

NPI: 1508376906
Provider Name: GREEN GABLES DENTAL LLC

Other Name: MICHAEL RIGGS

Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

Address:
7586 W JEWELL AVE # 2-303
LAKEWOOD, CO
ZIP 80232
Phone: (720) 442-8256
Get Directions

GREEN GABLES DENTAL LLC is a dentist anesthesiologist dentist in Lakewood, CO. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. GREEN GABLES DENTAL LLC NPI is 1508376906. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Michael Riggs.

The provider's business location address is:

7586 W JEWELL AVE # 2-303
LAKEWOOD, CO
ZIP 80232-890
Phone: (720) 442-8256
Fax: (720) 442-8246

The provider's authorized official is Michael Riggs .
The authorized official title is Owner and has the following contact phone number (720) 442-8256.

The enumeration date for this NPI number is 10/11/2017 and was last updated on 11/22/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist00202170COLORADONo
21223D0004XDentistDentist Anesthesiologist00202170COLORADOYes
31223D0004XDentistDentist Anesthesiologist02786101COLORADONo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11174698666MEDICAIDCOLORADO

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: 11/14/2023

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