Organization · Type 2 NPI

Broomfield Modern Dentistry and Orthodontics, LLP

General Practice Dentistry · Broomfield, CO

NPI number 1619207594 Active

Practice location

4490 W 121st Ave Ste 7
Broomfield, CO 80020-5665

Call (714) 368-2077 Map

Fax (303) 362-5615

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

Other general practice dentistry providers in Broomfield

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NPI record

NPI: 1619207594
Entity type: Organization (Type 2)
Issued: Dec 28, 2009
Last updated: Feb 7, 2022
Status: Active

Other names

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Broomfield Modern Dentistry and Orthodontics · doing business as
Broomfield Modern Dentistry and Orthodontics · doing business as

Authorized official

Dr. Marzieh Shafie, DMD
Owner Doctor
(714) 368-2077

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About NPI 1619207594

Broomfield Modern Dentistry and Orthodontics, LLP's National Provider Identifier is 1619207594, issued on Dec 28, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Broomfield, CO. The record was last updated on Feb 7, 2022.