Provider Demographics
NPI:1821138215
Name:AR RHOADES CORP.
Entity Type:Organization
Organization Name:AR RHOADES CORP.
Other - Org Name:SMILELOGIC, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:RHOADES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-665-1281
Mailing Address - Street 1:520 ZANG ST
Mailing Address - Street 2:SUITE L
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8223
Mailing Address - Country:US
Mailing Address - Phone:303-665-1281
Mailing Address - Fax:303-469-0705
Practice Address - Street 1:520 ZANG ST
Practice Address - Street 2:SUITE L
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8223
Practice Address - Country:US
Practice Address - Phone:303-665-1281
Practice Address - Fax:303-469-0705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty