Provider Demographics
NPI:1578750840
Name:REBECCA S. HUSER DDS, LLC
Entity Type:Organization
Organization Name:REBECCA S. HUSER DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:SMUTZER
Authorized Official - Last Name:HUSER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-877-3071
Mailing Address - Street 1:3525 S TAMARAC DR STE 170
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1426
Mailing Address - Country:US
Mailing Address - Phone:303-773-1211
Mailing Address - Fax:
Practice Address - Street 1:3525 S TAMARAC DR STE 170
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1426
Practice Address - Country:US
Practice Address - Phone:303-773-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9288122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty