# AA EMERGENCY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emergency Dental Care USA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578975207
- **Authorized official:** TODD A GIBLETTE (AUTHORIZED AGENT)
- **Authorized official phone:** (303) 503-3184

## Contact information

- **Practice address:** 7500 E ARAPAHOE RD STE 202, CENTENNIAL, CO 80112-1277
- **Practice address phone:** (303) 495-3443
- **Mailing address:** 916 N 7TH ST, COEUR D ALENE, ID 83814-3124
- **Mailing address phone:** (303) 503-3184
- **Mailing address fax:** (866) 839-8849

## Taxonomy

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

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 06/24/2019
