Provider Demographics
NPI:1659761310
Name:COMPLETE DENTAL SOLUTIONS
Entity Type:Organization
Organization Name:COMPLETE DENTAL SOLUTIONS
Other - Org Name:ROCK CREEK DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-440-3300
Mailing Address - Street 1:403 SUMMIT BLVD
Mailing Address - Street 2:UNIT 202
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8252
Mailing Address - Country:US
Mailing Address - Phone:303-665-1281
Mailing Address - Fax:
Practice Address - Street 1:403 SUMMIT BLVD
Practice Address - Street 2:UNIT 202
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8252
Practice Address - Country:US
Practice Address - Phone:303-665-1281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10573261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental