1790141539 NPI number — INTEGRITY DENTAL OF BOULDER, LTD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790141539 NPI number — INTEGRITY DENTAL OF BOULDER, LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTEGRITY DENTAL OF BOULDER, LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790141539
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
305 IRWIN PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ERIE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80516-6554
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-442-6141
Provider Business Mailing Address Fax Number:
303-545-5669

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
777 29TH ST
Provider Second Line Business Practice Location Address:
STE. #300
Provider Business Practice Location Address City Name:
BOULDER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80303-2358
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-442-6141
Provider Business Practice Location Address Fax Number:
303-545-5669
Provider Enumeration Date:
01/09/2016

Additional Information

Authorized Official

Authorized Official Last Name:
SUMMERS
Authorized Official First Name:
CORBETT
Authorized Official Middle Name:
W
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
303-442-6141

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  5129 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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