Colorado Dental Providers

NPI #1417032244 in Centennial, Colorado

Provider Information

NPI Number: 1417032244
Entity Type: Organization
Organization Name: Colorado Dental Providers
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8170 S UNIVERSITY BLVD
Address 2: SUITE 240
City: Centennial
State: Colorado
ZIP Code: 80122-3196
Phone: (303) 770-1106

Authorized Official

Name: JOHN EVERETT BALLARD
Title: CIO
Phone: (972) 755-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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