Provider Demographics
NPI:1033411152
Name:AFFORDABLE DENTURES - NORTHGLENN, P.C.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES - NORTHGLENN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-252-8820
Mailing Address - Street 1:680 E 120TH AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1125
Mailing Address - Country:US
Mailing Address - Phone:303-252-8820
Mailing Address - Fax:303-252-8822
Practice Address - Street 1:680 E 120TH AVE
Practice Address - Street 2:SUITE D
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-1125
Practice Address - Country:US
Practice Address - Phone:303-252-8820
Practice Address - Fax:303-252-8822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty