Provider Demographics
NPI:1811012966
Name:DYCHES AND ASSOCIATES DDS PC
Entity Type:Organization
Organization Name:DYCHES AND ASSOCIATES DDS PC
Other - Org Name:ALL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-841-9915
Mailing Address - Street 1:11280 S TWENTY MILE RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4914
Mailing Address - Country:US
Mailing Address - Phone:303-841-9915
Mailing Address - Fax:303-841-3447
Practice Address - Street 1:11280 S TWENTY MILE RD
Practice Address - Street 2:SUITE 115
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4914
Practice Address - Country:US
Practice Address - Phone:303-841-9915
Practice Address - Fax:303-841-3447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO=========OtherTAXID