Organization
MILE HIGH SMILES PLLC
Active
Other names
iSmile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC JOHNSON DMD (OWNER)
(602) 697-0934
Entity
Organization
Contact information
Practice address
677 S FEDERAL BLVD, DENVER, CO 80219-2938
(303) 955-6079
Mailing address
15842 JOSEPHINE CIR W, THORNTON, CO 80602-7756
(602) 697-0934
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417324138
NPI
CO
Enumeration date
03/04/2019
Last updated
03/04/2019
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