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Contact Information

AURORA DENTAL GROUP LLC
724 PEORIA ST
AURORA, CO80011-8231
 Phone: 303-745-2052
 Fax: 303-745-2189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for AURORA DENTAL GROUP LLC

NPI Number 1881026854
LBN Legal business name AURORA DENTAL GROUP LLC
Authorized official KATHY TOMLISON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2013
Last updated 12/01/2021 - About 5 years ago
Identifiers
CO License # 8412
CO Medicaid 1477665164
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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