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LITTLETON ADVANCED FAMILY DENTAL NPI 1669876272


NPI Information

NPI: 1669876272
Provider Name: LITTLETON ADVANCED FAMILY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5622 S DELAWARE ST
LITTLETON, CO
ZIP 80120
Phone: (303) 794-1707
Get Directions

LITTLETON ADVANCED FAMILY DENTAL is a general practice dentist in Littleton, 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. LITTLETON ADVANCED FAMILY DENTAL NPI is 1669876272. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5622 S DELAWARE ST
LITTLETON, CO
ZIP 80120-408
Phone: (303) 794-1707
Fax: (303) 730-3402

The provider's authorized official is Greg Sefcik .
The authorized official title is Dentist and has the following contact phone number (303) 794-1707.

The enumeration date for this NPI number is 10/13/2014 and was last updated on 10/13/2014.


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
11223G0001XDentistGeneral Practice00201897COLORADONo
21223G0001XDentistGeneral Practice10729COLORADOYes

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
175276062MEDICAIDCOLORADO

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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