Provider Demographics
NPI:1366230369
Name:SMILE WITH CARE DENTAL OF COLORADO
Entity type:Organization
Organization Name:SMILE WITH CARE DENTAL OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-276-6963
Mailing Address - Street 1:13731 E RICE PL STE 100
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1063
Mailing Address - Country:US
Mailing Address - Phone:720-938-0708
Mailing Address - Fax:720-938-0708
Practice Address - Street 1:13731 E RICE PL STE 100
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1063
Practice Address - Country:US
Practice Address - Phone:720-938-0708
Practice Address - Fax:720-938-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty