Organization
THERESA SHAVER ORTHODONTICS
Active
Organization
THERESA SHAVER ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA LYNN SHAVER DDS (OWNER/ORTHDONTIST)
(303) 751-1313
Entity
Organization
Contact information
Practice address
5001 S PARKER RD STE 201, AURORA, CO 80015-1183
(303) 751-1313
(303) 750-3070
Mailing address
5001 S PARKER RD STE 201, AURORA, CO 80015-1183
(303) 751-1313
(303) 750-3070
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7280
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17452252
—
CO
Enumeration date
06/08/2017
Last updated
07/21/2022
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