Advanced Dental Center

LBN: Advanced Dental Center
Advanced Dental Center is an health care organization with primary practice located at 1557 W 84Th Ave Unit 1 , Federal Heights CO 80260-4780. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Advanced Dental Center can be contacted via phone (303) 426-4860, or through Van Wagenen, Jason Ronald via phone (303) 426-4860.

Contact Information

Primary practice address
1557 W 84Th Ave Unit 1 Federal Heights CO 80260-4780
Phone: (303) 426-4860
Fax: (303) 426-1530
Website:
Map and Directions
Authorized official contact:
Name: Van Wagenen, Jason Ronald
Phone: (303) 426-4860

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8478 Colorado

Profile Details

NPI number 1467868596
LBN Legal business name Advanced Dental Center
DBA Doing business as
Authorized official Van Wagenen, Jason Ronald
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2014
Last updated Sep 16th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467868596 NPPES
Colorado MEDICAID 98681753

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