Provider Demographics
NPI:1245066273
Name:CHELSEA MITCHELL DMD PLLC
Entity type:Organization
Organization Name:CHELSEA MITCHELL DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:303-341-5313
Mailing Address - Street 1:941 S HAVANA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3019
Mailing Address - Country:US
Mailing Address - Phone:801-706-6815
Mailing Address - Fax:
Practice Address - Street 1:941 S HAVANA ST STE 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3019
Practice Address - Country:US
Practice Address - Phone:303-341-5313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty