Provider Demographics
NPI:1205718434
Name:CHAVES, ARIANNA BRANQUINHO (RDH)
Entity type:Individual
Prefix:
First Name:ARIANNA
Middle Name:BRANQUINHO
Last Name:CHAVES
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4567 LAMPLIGHTER CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80916-4604
Mailing Address - Country:US
Mailing Address - Phone:774-218-5146
Mailing Address - Fax:
Practice Address - Street 1:1824 DEMOCRACY POINT
Practice Address - Street 2:SUITE 140
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80908
Practice Address - Country:US
Practice Address - Phone:719-867-4291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH.002027121124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist