Organization
CODY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESSELY K CHAMBERS MBA (EXECUTIVE DIRECTOR)
(303) 758-5858
Entity
Organization
Contact information
Practice address
4301 E AMHERST AVE, DENVER, CO 80222-6790
(303) 758-5858
(303) 758-6753
Mailing address
4301 E AMHERST AVE, DENVER, CO 80222-6790
(303) 758-5858
(303) 758-6753
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
3514
CO
1223G0001X
General Practice Dentistry
3767
CO
1223G0001X
General Practice Dentistry
486
CO
1223G0001X
General Practice Dentistry
487
CO
1223G0001X
General Practice Dentistry
546
CO
1223G0001X
General Practice Dentistry
6773
CO
1223G0001X
General Practice Dentistry
7996
CO
1223G0001X
General Practice Dentistry
8359
CO
1223P0221X
Pediatric Dentistry
7077
CO
Other
Enumeration date
02/18/2007
Last updated
07/17/2008
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