Organization
HIGHLANDS RANCH DENTAL, PROFESSIONAL LLC
Active
Other names
Highlands Ranch Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE MIDGLEY DDS (ASSOCIATE)
(720) 439-2984
Entity
Organization
Contact information
Practice address
9385 S COLORADO BLVD, SUITE 102, HIGHLANDS RANCH, CO 80126-5299
(720) 439-2984
Mailing address
9385 S COLORADO BLVD, SUITE 102, HIGHLANDS RANCH, CO 80126-5299
(720) 439-2984
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
7835
CO
1223G0001X
General Practice Dentistry
Primary
7835
CO
1223P0300X
Periodontics
7835
CO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7835
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7835
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7835
STATE OF COLORADO
CO
Enumeration date
09/19/2014
Last updated
09/19/2014
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