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Contact Information

ADVANCED DENTAL CENTER
1557 W 84TH AVE UNIT 1
FEDERAL HEIGHTS, CO80260-4780
 Phone: 303-426-4860
 Fax: 303-426-1530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL CENTER

NPI Number 1467868596
LBN Legal business name ADVANCED DENTAL CENTER
Authorized official JASON VAN WAGENEN - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2014
Last updated 09/16/2015 - About 11 years ago
Identifiers
CO License # 8478
CO Medicaid 98681753
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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