Aurora Dental Group Llc

LBN: Aurora Dental Group Llc
Aurora Dental Group Llc is an health care organization with primary practice located at 724 Peoria St , Aurora CO 80011-8231. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Aurora Dental Group Llc can be contacted via phone (303) 745-2052, or through Tomlison, Kathy J via phone (720) 217-5794.

Contact Information

Primary practice address
724 Peoria St Aurora CO 80011-8231
Phone: (303) 745-2052
Fax: (303) 745-2189
Website:
Map and Directions
Authorized official contact:
Name: Tomlison, Kathy J Doctor of Dental Surgery (DDS)
Phone: (720) 217-5794

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 8412 Colorado

Profile Details

NPI number 1881026854
LBN Legal business name Aurora Dental Group Llc
DBA Doing business as
Authorized official Tomlison, Kathy J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2013
Last updated Dec 1st, 2021 - about 3 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 1881026854 NPPES
Colorado MEDICAID 1477665164

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