Provider Demographics
NPI:1720242902
Name:RIVER POINT DENTAL GROUP, LLP
Entity Type:Organization
Organization Name:RIVER POINT DENTAL GROUP, LLP
Other - Org Name:RIVER POINT DENTAL GROUP AND ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCANN LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-781-2340
Mailing Address - Street 1:PO BOX 920050
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75392-0050
Mailing Address - Country:US
Mailing Address - Phone:714-845-8890
Mailing Address - Fax:
Practice Address - Street 1:3960 RIVER POINT PKWY
Practice Address - Street 2:UNIT A
Practice Address - City:SHERIDAN
Practice Address - State:CO
Practice Address - Zip Code:80110
Practice Address - Country:US
Practice Address - Phone:303-781-2340
Practice Address - Fax:303-648-4962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty