Provider Demographics
NPI:1740804707
Name:CHAVET, OLIVIA FAITH (DDS)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:FAITH
Last Name:CHAVET
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 CAPE DORY DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-7939
Mailing Address - Country:US
Mailing Address - Phone:970-222-3642
Mailing Address - Fax:
Practice Address - Street 1:4421 CENTERPLACE DR UNIT A
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-3764
Practice Address - Country:US
Practice Address - Phone:970-236-9324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COT-DEN.00000029122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist