Provider Demographics
NPI:1891150512
Name:BERNATH, CARA (RDH)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:BERNATH
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:13700 E COLFAX AVE
Mailing Address - Street 2:SUITE M
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6847
Mailing Address - Country:US
Mailing Address - Phone:303-364-4322
Mailing Address - Fax:303-577-0190
Practice Address - Street 1:13700 E COLFAX AVE
Practice Address - Street 2:SUITE M
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6847
Practice Address - Country:US
Practice Address - Phone:303-364-4322
Practice Address - Fax:303-577-0190
Is Sole Proprietor?:No
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO904798124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist