NPI 1376913756

Little Parker Dental Center

Organisation Preferred Provider Organization Parker, CO

Practice location

Address: 10345 Parkglenn Way STE 200, Parker, CO 80138-3884
Phone: (303) 841-7045

Authorised official

Name: Terri Gillespie
Title: Owner
Phone: (303) 841-7045

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 6538 (CO)

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Registry record

NPI: 1376913756
Entity type: Organization
NPI issued: 29 Sep 2015
Record last updated: 29 Sep 2015

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.