Organization
COLORADO DENTAL PROFESSIONALS, LLC
Active
Parent organization
COLORADO DENTAL PROFESSIONALS, LLC
Other names
Copperhead Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO DENTAL PROFESSIONALS, LLC
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
13075 COPPERHEAD TRL, PARKER, CO 80134-6243
(720) 767-1331
(720) 216-0882
Mailing address
13075 COPPERHEAD TRL, PARKER, CO 80134-6243
(720) 767-1331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
01/15/2021
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