Open And Affordable Dental Englewood PLLC
Clinic/Center, Dental in Englewood, CO. Organization (NPI-2).
NPI number1689288409
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1689288409
- Entity type
- Organization (NPI-2)
- Legal business name
- Open And Affordable Dental Englewood PLLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2020
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
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 |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Open And Affordable Dental Englewood (Doing Business As)
Practice location
101 W Hampden AveEnglewood, CO 80110-2475
Phone 720-256-2254
Mailing address
101 W Hampden AveEnglewood, CO 80110-2475
Authorized official
Igor Traktinskiy
Owner
7202562254
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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