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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 codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Other names

  • Open And Affordable Dental Englewood (Doing Business As)

Practice location

101 W Hampden Ave
Englewood, CO 80110-2475

Phone 720-256-2254

Mailing address

101 W Hampden Ave
Englewood, 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.

Other Dental Clinic/Center providers in Englewood, CO

All 9 Dental Clinic/Center providers in Englewood · All 3,889 providers in Englewood

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