Mirage Dental Associates

LBN: Mirage Dental Associates
Mirage Dental Associates is an health care organization with primary practice located at 755 S Perry St Ste 200 , Castle Rock CO 80104-1923. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mirage Dental Associates can be contacted via phone (720) 733-3440, or through Moroni, Michael John via phone (720) 733-3440.

Contact Information

Primary practice address
755 S Perry St Ste 200 Castle Rock CO 80104-1923
Phone: (720) 733-3440
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moroni, Michael John Doctor of Dental Surgery (DDS)
Phone: (720) 733-3440

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7942 Colorado

Profile Details

NPI number 1548516743
LBN Legal business name Mirage Dental Associates
DBA Doing business as
Authorized official Moroni, Michael John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2012
Last updated Feb 23rd, 2023 - about last year

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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