Provider Demographics
NPI:1184762817
Name:DYCHES AND ASSOCIATES DDS, PC
Entity type:Organization
Organization Name:DYCHES AND ASSOCIATES DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-748-3100
Mailing Address - Street 1:11280 S TWENTY MILE RD
Mailing Address - Street 2:SUITE # 119
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:
Practice Address - Street 1:11280 S TWENTY MILE RD
Practice Address - Street 2:SUITE # 119
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
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=========OtherTIN