Provider Demographics
NPI:1023240975
Name:HAMPDEN DENTISTRY & ORTHODONTICS
Entity type:Organization
Organization Name:HAMPDEN DENTISTRY & ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRONT OFFICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEPOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-930-8888
Mailing Address - Street 1:9250 E HAMPDEN AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5413
Mailing Address - Country:US
Mailing Address - Phone:303-254-8888
Mailing Address - Fax:303-930-8828
Practice Address - Street 1:9250 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5413
Practice Address - Country:US
Practice Address - Phone:303-254-8828
Practice Address - Fax:303-254-8827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-11
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7924122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty