NPI 1013564384

My Local Colorado Dental Practice, LLC

Organisation General Practice Dentistry Aurora, CO

Practice location

Address: 18121 E Hampden Ave Unit E, Aurora, CO 80013-3591
Phone: (303) 317-5335

Authorised official

Name: Michelle Johnson
Title: Credentialing Specialist
Phone: (509) 315-8338

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Colorado →

Registry record

NPI: 1013564384
Entity type: Organization
NPI issued: 21 Aug 2019
Record last updated: 21 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.