Treasured Teeth Reunion

LBN: Treasured Teeth Reunion
Treasured Teeth Reunion is an health care organization with primary practice located at 18335 E 103Rd Ave Unit 103 , Commerce City CO 80022-3103. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Treasured Teeth Reunion can be contacted via phone (303) 853-9955, or through Tippets, Derren E via phone (303) 853-9955.

Contact Information

Primary practice address
18335 E 103Rd Ave Unit 103 Commerce City CO 80022-3103
Fax: (303) 853-9954
Website:
Authorized official contact:
Name: Tippets, Derren E Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 9579 Colorado

Profile Details

NPI number 1497053284
LBN Legal business name Treasured Teeth Reunion
DBA Doing business as
Authorized official Tippets, Derren E Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2011
Last updated Mar 7th, 2011 - about 14 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 1497053284 NPPES
Colorado MEDICAID 77383877
Colorado MEDICAID 10179054

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