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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROOMFIELD MODERN DENTISTRY AND ORTHODONTICS, LLP

Active Organization

General Dentistry · BROOMFIELD, CO

Registration Details

NPI Number
1619207594
Provider Type
Organization
NPI Issued
Dec 28, 2009 (16.312021838021 yrs)
Last Updated
Feb 7, 2022

Practice Information

Address
4490 W 121ST AVE STE 7
BROOMFIELD, CO, 800205665
Browse CO providers · Browse ZIP 80020
Phone
7143682077
Fax
3033625615
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.