Family Dentistry
LBN: Family Dentistry
Family Dentistry is an health care organization with primary practice located at 1756 Vine St , Denver CO 80206-1120. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
Family Dentistry can be contacted via phone (303) 322-1177, or through Johnson, Collis via phone (303) 322-1177.
Contact Information
Primary practice address
1756 Vine St
Denver CO 80206-1120
Phone: (303) 322-1177
Fax: (303) 322-1199
Website:
Authorized official contact:
Name: Johnson, Collis Doctor of Dental Surgery (DDS)
Phone: (303) 322-1177
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 104176 | Colorado |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 105493 | Colorado |
Profile Details
| NPI number | 1316292097 |
|---|---|
| LBN Legal business name | Family Dentistry |
| DBA Doing business as | |
| Authorized official | Johnson, Collis Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2012 |
| Last updated | Jul 18th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316292097 | NPPES |
| Colorado | MEDICAID | 17178061 | |
| Colorado | MEDICAID | 02014769 |
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