Provider Demographics
NPI:1780908848
Name:TODAY'S CHOICE DENTAL
Entity type:Organization
Organization Name:TODAY'S CHOICE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:B
Authorized Official - Last Name:POCZATEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-444-3232
Mailing Address - Street 1:2800 VALMONT RD
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1310
Mailing Address - Country:US
Mailing Address - Phone:303-444-3232
Mailing Address - Fax:303-444-3242
Practice Address - Street 1:2800 VALMONT RD
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1310
Practice Address - Country:US
Practice Address - Phone:303-444-3232
Practice Address - Fax:303-444-3242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO105193122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COPENDINGMedicaid