4TH Avenue Family Dentistry, LLC
Dentist, General Practice in Denver, Colorado
1013100387- Practice location
- 390 University Blvd, Denver, CO 80206-4125
- Phone
- 303-333-0771
- Fax
- 303-333-0779
- Last updated
- August 21, 2007
4TH Avenue Family Dentistry, LLC is a healthcare organization based in Denver, CO. The NPI number for 4TH Avenue Family Dentistry, LLC is 1013100387. The current practice location address is 390 University Blvd, Denver, CO 80206-4125 and the office can be reached by phone at 303-333-0771 and by fax at 303-333-0779. The NPI was assigned on August 21, 2007 and the record was last updated in NPPES on August 21, 2007.
●Provider Profile Details
- NPI Number
- 1013100387
- Provider Name
- 4TH Avenue Family Dentistry, LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Thomas Swain, DDS · Dentist · 303-333-0771
- Enumeration Date
- August 21, 2007
- Last Update Date
- August 21, 2007
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 390 University Blvd
Denver, CO 80206-4125 - City
- Denver
- State
- Colorado
- ZIP
- 80206-4125
- Country
- US
- Phone Number
- 303-333-0771
- Fax Number
- 303-333-0779
✉Business Mailing Address
- Address
- 390 University Blvd
Denver, CO 80206-4125 - City
- Denver
- State
- CO
- ZIP
- 80206-4125
- Phone Number
- 303-333-0771
- Fax Number
- 303-333-0779
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist, General Practice 193400000X - Single Specialty Group | 1223G0001X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Denver →?Frequently Asked Questions
What is the NPI number of 4TH Avenue Family Dentistry, LLC?
The NPI number of 4TH Avenue Family Dentistry, LLC is 1013100387. It was assigned on August 21, 2007 and is currently active in the NPPES registry.
What is the specialty of 4TH Avenue Family Dentistry, LLC?
4TH Avenue Family Dentistry, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does 4TH Avenue Family Dentistry, LLC practice?
The practice location is 390 University Blvd, Denver, CO 80206-4125. The office can be reached at 303-333-0771 (phone) or 303-333-0779 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013100387 directly on the NPPES registry website at npiregistry.cms.hhs.gov.