Provider Demographics
NPI:1720840226
Name:MOLAR BEAR PLLC
Entity Type:Organization
Organization Name:MOLAR BEAR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SLAGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-795-3517
Mailing Address - Street 1:5031 S FEDERAL BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-6368
Mailing Address - Country:US
Mailing Address - Phone:303-795-3517
Mailing Address - Fax:303-794-3319
Practice Address - Street 1:5031 S FEDERAL BLVD STE 4
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-6368
Practice Address - Country:US
Practice Address - Phone:303-795-3517
Practice Address - Fax:303-794-3319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty