Provider Demographics
NPI:1336958230
Name:ENG ORTHODONTICS ARVADA PLLC
Entity type:Organization
Organization Name:ENG ORTHODONTICS ARVADA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ENG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:319-471-1354
Mailing Address - Street 1:195 TELLURIDE ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4358
Mailing Address - Country:US
Mailing Address - Phone:303-498-0351
Mailing Address - Fax:
Practice Address - Street 1:18148 W 92ND LN UNIT 500
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80007-8164
Practice Address - Country:US
Practice Address - Phone:720-800-9331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty