Colorado Dhca, Boulder, Pllc in Boulder - General Practice

Colorado Dhca, Boulder, Pllc - NPI 1013052653

Colorado Dhca, Boulder, Pllc is a General Practice in Boulder, Colorado. Colorado Dhca, Boulder, Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Colorado Dhca, Boulder, Pllc is 1013052653. The last update date is 2008-07-09.

Colorado Dhca, Boulder, Pllc's current location address is 2525 28th St Unit 140, Boulder, Colorado. You can contact this provider via phone number 3034430070 and fax number 3034430073. The mailing address for Colorado Dhca, Boulder, Pllc is 2525 28th St Unit 140, Boulder, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Colorado Dhca, Boulder, Pllc
Address 2525 28th St Unit 140, Boulder, Colorado
Phone Number 3034430070
Fax Number 3034430073
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Wittenberg Ande
Telephone Number 3034430070

NPI Number Detail

NPI Number 1013052653
Provider Enumeration Date 2007-02-21
Last Updated Date 2008-07-09

Provider Mailing Address Detail

Address 2525 28th St Unit 140
City Boulder
State Colorado (CO)
Post Code 803011255
Phone Number 3034430070
Fax Number 3034430073

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 579
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
841525799 CO SPECIALTY

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FAQs about Colorado Dhca, Boulder, Pllc

What is the unique 10-digit identifier code assigned to Colorado Dhca, Boulder, Pllc by the Centers for Medicare & Medicaid Services?

The Colorado Dhca, Boulder, Pllc has been issued the NPI (National Provider Identifier) 1013052653 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Colorado Dhca, Boulder, Pllc is geographically located?

The Colorado Dhca, Boulder, Pllc is physically situated at the following location: 2525 28Th St Unit 140, Boulder, CO, 803011255.

What is Colorado Dhca, Boulder, Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Colorado Dhca, Boulder, Pllc is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

When did Colorado Dhca, Boulder, Pllc receive its 1013052653 assignment?

The Colorado Dhca, Boulder, Pllc was assigned its 1013052653 on 2007-02-21, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Colorado Dhca, Boulder, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Colorado Dhca, Boulder, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-09.

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