NPI 1629457635

Dr. Timothy J. Wachuta

Organisation Health Maintenance Organization Denver, CO

Practice location

Address: 2709 S. Colorado Blvd., Denver, CO 80222
Phone: (303) 756-2770
Fax: (303) 758-5705
Mailing address: 2709 S Colorado Blvd, Denver, CO 80222-6601

Authorised official

Name: Timothy John Wachuta
Title: Dentist/Owner
Phone: (303) 638-9440

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 7007 (CO)

Other Health Maintenance Organization providers in Colorado →

Exclusive Provider Organization

Managed Care Organizations Taxonomy 302F00000X Licence 7007 (CO)

Other Exclusive Provider Organization providers in Colorado →

Registry record

NPI: 1629457635
Entity type: Organization
NPI issued: 22 May 2015
Record last updated: 22 May 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.