Flaitz, Catherine Mary

Flaitz, Catherine Mary is an sole proprietor health care provider with primary practice located at 13065 E. 17Th Ave, Room 130J Mail Stop F844, Denver CO 80203. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Pediatric Dentistry. Dental Providers / Oral and Maxillofacial Pathology is her primary health care specialty. Flaitz, Catherine Mary can be contacted via phone (303) 724-6983.

Contact Information

Primary practice address
13065 E. 17Th Ave, Room 130J Mail Stop F844 Denver CO 80203
Phone: (303) 724-6983
Fax: (303) 724-6986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 17951 Texas
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 30-024363 Ohio
Dental Providers / Pediatric Dentistry 1223P0221X 30-024363 Ohio
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DEN.00105371 Colorado

Profile Details

NPI number 1962411827
LBN Legal business name Flaitz, Catherine Mary
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Jun 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962411827 NPPES
Texas Other 89773B BLUE CROSS BLUE SHIELD
Texas MEDICAID 0119665 BLUE CROSS BLUE SHIELD
Texas MEDICAID 111084301 BLUE CROSS BLUE SHIELD

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