Provider Demographics
NPI:1396915146
Name:PAGE DENTAL ARTS, PROFESSIONAL LLC
Entity type:Organization
Organization Name:PAGE DENTAL ARTS, PROFESSIONAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:BOYD-PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-718-2838
Mailing Address - Street 1:3130 LYNWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-8044
Mailing Address - Country:US
Mailing Address - Phone:303-718-2838
Mailing Address - Fax:
Practice Address - Street 1:10026 W SAN JUAN WAY STE 150
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6345
Practice Address - Country:US
Practice Address - Phone:303-794-4542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8622261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental