Provider Demographics
NPI:1295186013
Name:HIGH DENTISTRY
Entity Type:Organization
Organization Name:HIGH DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:IN
Authorized Official - Middle Name:CHUL
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-693-2137
Mailing Address - Street 1:1450 S HAVANA ST STE 720
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4034
Mailing Address - Country:US
Mailing Address - Phone:303-693-2137
Mailing Address - Fax:
Practice Address - Street 1:1450 S HAVANA ST STE 720
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4034
Practice Address - Country:US
Practice Address - Phone:303-693-2137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8198261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service