Organization
REGENTS OF THE UNIVERSITY OF COLORADO
Active
Organization
REGENTS OF THE UNIVERSITY OF COLORADO
Active
Other names
University of Colorado Department of Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME N GANDY (INSURANCE COORDINATOR)
(303) 724-7001
Entity
Organization
Contact information
Practice address
13065 E 17TH PL, MAIL STOP F846, AURORA, CO 80045-7238
(303) 724-7001
Mailing address
13065 E 17TH PL, MAIL STOP F846, AURORA, CO 80045-7238
(303) 724-7001
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
104878
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
104928
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7100
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9023
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40224520
—
CO
Enumeration date
04/18/2007
Last updated
08/22/2020
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