Provider Demographics
NPI:1497068811
Name:ARIOLA-TIRELLA & ASSOCIATES
Entity Type:Organization
Organization Name:ARIOLA-TIRELLA & ASSOCIATES
Other - Org Name:TIRELLA FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIOLA-TIRELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-910-7981
Mailing Address - Street 1:6449 EAST 123RD PLACE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602
Mailing Address - Country:US
Mailing Address - Phone:303-910-7981
Mailing Address - Fax:
Practice Address - Street 1:7400 WADSWORTH BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-2767
Practice Address - Country:US
Practice Address - Phone:303-910-7981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO97821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty