Organization · Type 2 NPI

Colorado Dental Orthodontist Practice, PLLC

Orthodontics and Dentofacial Orthopedics Dentistry · Westminster, CO

NPI number 1457934663 Active

Practice location

1005 W 120th Ave Ste 800
Westminster, CO 80234-2747

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

2 other providers at this address

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NPI record

NPI: 1457934663
Entity type: Organization (Type 2)
Issued: May 5, 2021
Last updated: May 5, 2021
Status: Active
Subpart: Yes of Colorado Dental Orthodontist Practice, PLLC

Other names

Sage Orthodontics · doing business as

Authorized official

Michelle Johnson
Credentialing Specialist
(509) 315-8338

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457934663

Colorado Dental Orthodontist Practice, PLLC's National Provider Identifier is 1457934663, issued on May 5, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Westminster, CO. The record was last updated on May 5, 2021.