# GREAT SMILES DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Smiles at Sunrise Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649733585
- **Authorized official:** MRS. MAYA Q TURNER (COO)
- **Authorized official phone:** (303) 542-0288

## Contact information

- **Practice address:** 1656 30TH ST, BOULDER, CO 80301-1014
- **Practice address phone:** (303) 444-4922
- **Mailing address:** 2525 ARAPAHOE AVE STE E4-907, BOULDER, CO 80302-6720
- **Mailing address phone:** (303) 542-0288

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2019
- **Last updated:** 04/08/2019