Provider Demographics
NPI:1245742105
Name:DENTISTS OF GREENWOOD, LLP
Entity Type:Organization
Organization Name:DENTISTS OF GREENWOOD, LLP
Other - Org Name:DENTISTS OF GREENWOOD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-613-3081
Mailing Address - Street 1:PO BOX 920050
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75392-0050
Mailing Address - Country:US
Mailing Address - Phone:714-845-8890
Mailing Address - Fax:303-952-0892
Practice Address - Street 1:4930 S YOSEMITE ST STE D1B
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1353
Practice Address - Country:US
Practice Address - Phone:720-613-3081
Practice Address - Fax:720-499-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-01
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty