Provider Demographics
NPI:1144398629
Name:COMFORT DENTAL PARKER ROAD
Entity Type:Organization
Organization Name:COMFORT DENTAL PARKER ROAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-680-9990
Mailing Address - Street 1:15250 E ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80016-3003
Mailing Address - Country:US
Mailing Address - Phone:303-680-9990
Mailing Address - Fax:303-699-6244
Practice Address - Street 1:15250 E ORCHARD RD
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80016-3003
Practice Address - Country:US
Practice Address - Phone:303-680-9990
Practice Address - Fax:303-699-6244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty