# ALTITUDE DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Altitude Special Needs and Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568906121
- **Authorized official:** SHAHEEN M MOEZZI DDS (DENTIST/OWNER)
- **Authorized official phone:** (702) 682-6789

## Contact information

- **Practice address:** 5600 W 44TH AVE, DENVER, CO 80212-7339
- **Practice address phone:** (602) 391-8331
- **Mailing address:** 3330 W 34TH AVE, DENVER, CO 80211-3129
- **Mailing address phone:** (602) 391-8331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DEN.00202224 | CO | Yes |

## Other

- **Enumeration date:** 12/15/2016
- **Last updated:** 12/15/2016