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Contact Information

4TH AVENUE FAMILY DENTISTRY, LLC
390 UNIVERSITY BLVD
DENVER, CO80206-4125
 Phone: 303-333-0771
 Fax: 303-333-0779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 4TH AVENUE FAMILY DENTISTRY, LLC

NPI # 1013100387
LBN Legal business name 4TH AVENUE FAMILY DENTISTRY, LLC
Authorized official THOMAS SWAIN - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2007
Last updated 08/21/2007 - About 19 years ago
Identifiers n/a
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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