Provider Demographics
NPI:1376688630
Name:COLORADO DHCA, WESTMINSTER, PLLC
Entity Type:Organization
Organization Name:COLORADO DHCA, WESTMINSTER, PLLC
Other - Org Name:DENTAL HEALTH OF WESTMINSTER, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-427-0730
Mailing Address - Street 1:7970 SHERIDAN BOULEVARD
Mailing Address - Street 2:THIRD FLOOR
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003
Mailing Address - Country:US
Mailing Address - Phone:303-427-0730
Mailing Address - Fax:303-427-0754
Practice Address - Street 1:7970 SHERIDAN BLVD FL 3
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-6201
Practice Address - Country:US
Practice Address - Phone:303-427-0730
Practice Address - Fax:303-427-0754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO841525799OtherSPECIALTY