South Federal Dental Gp Pc

LBN: South Federal Dental Gp Pc
South Federal Dental Gp Pc is an health care organization with primary practice located at 1601 So Federal Blvd Suite 201, Denver CO 80219. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. South Federal Dental Gp Pc can be contacted via phone (303) 934-0232, or through Farmer, Dale L via phone (303) 934-0232.

Contact Information

Primary practice address
1601 So Federal Blvd Suite 201 Denver CO 80219
Phone: (303) 934-0232
Fax: (303) 934-2208
Website:
Map and Directions
Authorized official contact:
Name: Farmer, Dale L
Phone: (303) 934-0232

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 105415 Colorado

Profile Details

NPI number 1386706430
LBN Legal business name South Federal Dental Gp Pc
DBA Doing business as
Authorized official Farmer, Dale L
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1386706430 NPPES
Colorado MEDICAID 04001301

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