# ANDANTE ENDODONTIC SPECIALISTS, PROF. LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Andante Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558484691
- **Authorized official:** DR. RANDA KAREN DEGERNESS DDS, MBA (ADMINISTRATOR)
- **Authorized official phone:** (303) 726-6565

## Contact information

- **Practice address:** 8340 SANGRE DE CRISTO RD, SUITE 104, LITTLETON, CO 80127-4248
- **Practice address phone:** (303) 948-4884
- **Practice address fax:** (720) 922-7734
- **Mailing address:** 8340 SANGRE DE CRISTO RD, SUITE 104, LITTLETON, CO 80127-4243
- **Mailing address phone:** (303) 948-4884
- **Mailing address fax:** (720) 922-7734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | D9660 | MN | — |
| 261QD0000X | Dental Clinic/Center | DEN000000005149 | CO | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 08/22/2020