Provider Demographics
NPI:1821497405
Name:CLEVER DENTAL
Entity Type:Organization
Organization Name:CLEVER DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VLAD
Authorized Official - Middle Name:
Authorized Official - Last Name:TWERSKOI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-377-0229
Mailing Address - Street 1:925 S NIAGARA ST
Mailing Address - Street 2:SUITE 480
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1683
Mailing Address - Country:US
Mailing Address - Phone:303-377-0229
Mailing Address - Fax:
Practice Address - Street 1:925 S NIAGARA ST
Practice Address - Street 2:SUITE 480
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1683
Practice Address - Country:US
Practice Address - Phone:303-377-0229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8808122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty