Provider Demographics
NPI:1881418317
Name:VIKAS TRIVEDI DDS PLLC
Entity type:Organization
Organization Name:VIKAS TRIVEDI DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIKAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIVEDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-206-7990
Mailing Address - Street 1:4400 S SYRACUSE ST UNIT 1111
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2990
Mailing Address - Country:US
Mailing Address - Phone:757-206-7990
Mailing Address - Fax:
Practice Address - Street 1:18801 E MAINSTREET STE 130
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3472
Practice Address - Country:US
Practice Address - Phone:757-206-7990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental