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Contact Information

OPEN AND AFFORDABLE DENTAL COMMERCE CITY PLLC
4972 E 62ND AVE UNIT B1
COMMERCE CITY, CO80022-3253
 Phone: 303-288-4969
 Fax: 303-288-4969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for OPEN AND AFFORDABLE DENTAL COMMERCE CITY PLLC

NPI Number 1376295691
LBN Legal business name OPEN AND AFFORDABLE DENTAL COMMERCE CITY PLLC
Authorized official IGOR TRAKTINSKIY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/19/2022
Last updated 01/19/2022 - About 4 years ago
Identifiers
CO Medicaid 9000161964
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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