Provider Demographics
NPI:1245614551
Name:CATHERINE VIEREGGER DDS, PC
Entity Type:Organization
Organization Name:CATHERINE VIEREGGER DDS, PC
Other - Org Name:VIBRANCE COMPREHENSIVE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VIEREGGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-770-1116
Mailing Address - Street 1:7400 E CRESTLINE CIR
Mailing Address - Street 2:SUITE #230
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3652
Mailing Address - Country:US
Mailing Address - Phone:303-770-1116
Mailing Address - Fax:303-648-4598
Practice Address - Street 1:7400 E CRESTLINE CIR
Practice Address - Street 2:SUITE #230
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3652
Practice Address - Country:US
Practice Address - Phone:303-770-1116
Practice Address - Fax:303-648-4598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN000081221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty