# NIC - DENVER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326653841
- **Authorized official:** PRESTON HANSEN DDS (CEO)
- **Authorized official phone:** (720) 459-5517

## Contact information

- **Practice address:** 8000 E PRENTICE AVE STE A3, GREENWOOD VILLAGE, CO 80111-2725
- **Practice address phone:** (720) 459-5517
- **Mailing address:** 8000 E PRENTICE AVE STE A3, GREENWOOD VILLAGE, CO 80111-2725
- **Mailing address phone:** (720) 459-5517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2020
- **Last updated:** 09/11/2020