Broomfield Plaza Family Dentistry

LBN: Broomfield Plaza Family Dentistry
Broomfield Plaza Family Dentistry is an health care organization with primary practice located at 5015 W 120Th Ave , Broomfield CO 80020-5606. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Broomfield Plaza Family Dentistry can be contacted via phone (303) 466-2935, or through Bowling, Nina R via phone (303) 466-2935.

Contact Information

Primary practice address
5015 W 120Th Ave Broomfield CO 80020-5606
Fax:
Website:
Authorized official contact:
Name: Bowling, Nina R Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 104995 Colorado

Profile Details

NPI number 1669649943
LBN Legal business name Broomfield Plaza Family Dentistry
DBA Doing business as
Authorized official Bowling, Nina R Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 17 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 1669649943 NPPES
Colorado MEDICAID 04013264

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