Breathe Dental, LLC
Dentist in Arvada, CO. Organization (NPI-2).
NPI number1578090924
StatusActive
Last updated in NPPESMay 16, 2017
Details
- NPI
- 1578090924
- Entity type
- Organization (NPI-2)
- Legal business name
- Breathe Dental, LLC
- Organization subpart
- No
- Enumeration date
- May 16, 2017
- Last updated
- May 16, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 202212 | CO | Yes |
Other names
- Table Mountain Dental Group (Doing Business As)
Practice location
6410 Miller St # 15Arvada, CO 80004-2833
Phone 720-822-9059
Mailing address
14333 W 48th PlGolden, CO 80403-1797
Authorized official
Craig M Cardon
Owner/President
7208229059
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