Provider Demographics
NPI:1588197651
Name:BELLEVIEW DENTIST OFFICE, LLP
Entity Type:Organization
Organization Name:BELLEVIEW DENTIST OFFICE, LLP
Other - Org Name:BELLEVIEW DENTIST OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARYN
Authorized Official - Middle Name:C K
Authorized Official - Last Name:YEE-PAIVA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-214-4274
Mailing Address - Street 1:17000 RED HILL AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5626
Mailing Address - Country:US
Mailing Address - Phone:714-845-8890
Mailing Address - Fax:949-474-1495
Practice Address - Street 1:6951 E BELLEVIEW AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237
Practice Address - Country:US
Practice Address - Phone:303-214-4274
Practice Address - Fax:303-678-8517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty