Provider Demographics
NPI:1285841759
Name:DENTAL 911
Entity Type:Organization
Organization Name:DENTAL 911
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:HAKALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-393-9111
Mailing Address - Street 1:4200 E 8TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3703
Mailing Address - Country:US
Mailing Address - Phone:303-393-9911
Mailing Address - Fax:
Practice Address - Street 1:4200 E 8TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3703
Practice Address - Country:US
Practice Address - Phone:303-393-9911
Practice Address - Fax:303-321-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6643122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty