Organization
CASTLE PINES, DENTAL PROFESSIONAL, LLC
Active
Other names
Castle Pines Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA DANHOF DMD (ASSOCIATE)
(720) 457-1111
Entity
Organization
Contact information
Practice address
562 E CASTLE PINES PKWY, SUITE C-8, CASTLE PINES, CO 80108-4609
(720) 457-1111
(888) 790-7062
Mailing address
562 E CASTLE PINES PKWY, SUITE C-8, CASTLE PINES, CO 80108-4609
(720) 457-1111
(888) 790-7062
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
202000
CO
1223G0001X
General Practice Dentistry
Primary
202000
CO
1223P0300X
Periodontics
202000
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
202000
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20200
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202000
STATE OF COLORADO
CO
Enumeration date
09/19/2014
Last updated
09/19/2014
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