Provider Demographics
NPI:1174267405
Name:RECLAIM DENTISTRY, PLLC
Entity Type:Organization
Organization Name:RECLAIM DENTISTRY, PLLC
Other - Org Name:RECLAIM INTEGRATIVE DENTISTRY & IMPLANT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWANDT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:701-412-8502
Mailing Address - Street 1:7900 W 44TH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4563
Mailing Address - Country:US
Mailing Address - Phone:701-412-8502
Mailing Address - Fax:
Practice Address - Street 1:7900 W 44TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4563
Practice Address - Country:US
Practice Address - Phone:303-433-7391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental