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SIGNATURE COLORADO DENTAL PARTNERS LLC NPI 1992275630


NPI Information

NPI: 1992275630
Provider Name: SIGNATURE COLORADO DENTAL PARTNERS LLC

Doing Business As: EDWARD LACY DDS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
700 E 9TH AVE UNIT 102
DENVER, CO
ZIP 80203
Phone: (303) 832-7789
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SIGNATURE COLORADO DENTAL PARTNERS LLC is a dental clinic center in Denver, CO. SIGNATURE COLORADO DENTAL PARTNERS LLC NPI is 1992275630. The provider is registered as an organization entity type.
The provider Is Doing Business As Edward Lacy Dds.

The provider's business location address is:

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

The provider's authorized official is Melody Bennion .
The authorized official title is Director Of Integrations and has the following contact phone number (480) 234-8490.

The enumeration date for this NPI number is 11/26/2018 and was last updated on 6/27/2023.


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/CenterDentalYes

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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