<Unavail>

LBN: Green Gables Dental Llc
<Unavail> is an health care organization with primary practice located at 7586 W Jewell Ave # 2-303 , Lakewood CO 80232-6890. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is the primary health care specialty. Green Gables Dental Llc can be contacted via phone (720) 442-8256, or through Riggs, Michael via phone (720) 442-8256.

Contact Information

Primary practice address
7586 W Jewell Ave # 2-303 Lakewood CO 80232-6890
Phone: (720) 442-8256
Fax: (720) 442-8246
Website:
Map and Directions
Authorized official contact:
Name: Riggs, Michael
Phone: (720) 442-8256

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 00202170 Colorado
Dental Providers / Dentist Anesthesiologist 1223D0004X 02786101 Colorado
Dental Providers / Dentist Anesthesiologist 1223D0004X 00202170 Colorado

Profile Details

NPI number 1508376906
LBN Legal business name Green Gables Dental Llc
DBA Doing business as <Unavail>
Authorized official Riggs, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2017
Last updated Nov 22nd, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508376906 NPPES
Colorado MEDICAID 1174698666

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