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CAPITOL PREMIER DENTAL GROUP LLC NPI 1518407485


NPI Information

NPI: 1518407485
Provider Name: CAPITOL PREMIER DENTAL GROUP, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3955 E EXPOSITION AVE
SUITE 310
DENVER, CO
ZIP 80209
Phone: (303) 991-4455
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CAPITOL PREMIER DENTAL GROUP, LLC is a dental clinic center in Denver, CO. CAPITOL PREMIER DENTAL GROUP, LLC NPI is 1518407485. The provider is registered as an organization entity type.

The provider's business location address is:

3955 E EXPOSITION AVE
SUITE 310
DENVER, CO
ZIP 80209-000
Phone: (303) 991-4455
Fax: (303) 991-4456

The provider's authorized official is Lawrence Dan Yahnian .
The authorized official title is Dr/owner and has the following contact phone number (303) 991-4455.

The enumeration date for this NPI number is 2/27/2017 and was last updated on 2/27/2017.


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
1261QD0000XClinic/CenterDental6957COLORADOYes

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
11326116328MEDICAIDCOLORADO

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

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