Provider Demographics
NPI:1083230403
Name:CHIOVITTI, MEGHAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:
Last Name:CHIOVITTI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13533 HURON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-1158
Mailing Address - Country:US
Mailing Address - Phone:303-452-3982
Mailing Address - Fax:
Practice Address - Street 1:13533 HURON ST STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80234-1158
Practice Address - Country:US
Practice Address - Phone:303-452-3982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-22
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COT-DEN.000000361223G0001X
CODEN.002045041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty