Provider Demographics
NPI:1104187426
Name:DP ASSISTING
Entity Type:Organization
Organization Name:DP ASSISTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED SURGICAL ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:PAIGE
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:303-815-4708
Mailing Address - Street 1:1279 SALEM ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6349
Mailing Address - Country:US
Mailing Address - Phone:303-815-4708
Mailing Address - Fax:
Practice Address - Street 1:1279 SALEM ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6349
Practice Address - Country:US
Practice Address - Phone:303-815-4708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COSA-1372282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital