Provider Demographics
NPI:1811523079
Name:OFFERDAHL & ASSOCIATES
Entity type:Organization
Organization Name:OFFERDAHL & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:TONOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-987-9109
Mailing Address - Street 1:10037 W REMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4226
Mailing Address - Country:US
Mailing Address - Phone:303-987-9109
Mailing Address - Fax:303-987-9123
Practice Address - Street 1:10037 W REMINGTON AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4226
Practice Address - Country:US
Practice Address - Phone:303-987-9109
Practice Address - Fax:303-987-9123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty