Family Dentistry
LBN: Collis Johnson Jr Dds Pc
Family Dentistry is an health care organization with primary practice located at 1756 Vine St , Denver CO 80206. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Collis Johnson Jr Dds Pc can be contacted via phone (303) 322-1177, or through Johnson, Collis via phone (303) 322-1177.
Contact Information
Primary practice address
1756 Vine St
Denver CO 80206
Phone: (303) 322-1177
Fax: (303) 322-1199
Website:
Authorized official contact:
Name: Johnson, Collis Doctor of Dental Surgery (DDS)
Phone: (303) 322-1177
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 104176 | Colorado |
Profile Details
| NPI number | 1922212943 |
|---|---|
| LBN Legal business name | Collis Johnson Jr Dds Pc |
| DBA Doing business as | Family Dentistry |
| Authorized official | Johnson, Collis Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Sep 2nd, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922212943 | NPPES |
| Colorado | Other | 1831291855 | NATIONAL PROVIDER TYPEI |
| Colorado | MEDICAID | 02014769 | NATIONAL PROVIDER TYPEI |
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