Provider Demographics
NPI:1063133502
Name:NEW DAY DENTISTRY PLLC
Entity type:Organization
Organization Name:NEW DAY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:FATMA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HABIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-667-0579
Mailing Address - Street 1:1692 WADSWORTH BLVD UNIT 105
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-5233
Mailing Address - Country:US
Mailing Address - Phone:303-233-2361
Mailing Address - Fax:
Practice Address - Street 1:1692 WADSWORTH BLVD UNIT 105
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5233
Practice Address - Country:US
Practice Address - Phone:303-233-2361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW DAY DENTISTRY PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-02
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty