Provider Demographics
NPI:1700255676
Name:COLORADO ORTHODONTICS
Entity Type:Organization
Organization Name:COLORADO ORTHODONTICS
Other - Org Name:DR. JAMES H. MASON JR. DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICING DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:MASON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-751-5700
Mailing Address - Street 1:2993 S PEORIA ST STE 260
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5710
Mailing Address - Country:US
Mailing Address - Phone:303-751-5700
Mailing Address - Fax:303-751-5222
Practice Address - Street 1:2993 S PEORIA ST STE 260
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-5710
Practice Address - Country:US
Practice Address - Phone:303-751-5700
Practice Address - Fax:303-751-5222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO83271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty