Organization · Type 2 NPI

My Local Colorado Dental Practice, LLC

General Practice Dentistry · Denver, CO

NPI number 1891335964 Active

Practice location

1727 N Gilpin St
Denver, CO 80218-1205

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.

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NPI record

NPI: 1891335964
Entity type: Organization (Type 2)
Issued: Jan 7, 2020
Last updated: Jan 7, 2020
Status: Active
Subpart: Yes of My Local Colorado Dental Practice, LLC

Other names

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Mile High Dental and Implant · doing business as

Authorized official

Michelle Johnson
Credentialing Specialist
(509) 315-8338

Verify this record

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 1891335964

My Local Colorado Dental Practice, LLC's National Provider Identifier is 1891335964, issued on Jan 7, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Denver, CO. The record was last updated on Jan 7, 2020.