Provider Demographics
NPI:1427264738
Name:GOLDEN DENTAL PARTNERS PROF. LLP
Entity type:Organization
Organization Name:GOLDEN DENTAL PARTNERS PROF. LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-278-6953
Mailing Address - Street 1:17531 S GOLDEN RD
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-2635
Mailing Address - Country:US
Mailing Address - Phone:303-278-6953
Mailing Address - Fax:303-384-0221
Practice Address - Street 1:17531 S GOLDEN RD
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-2635
Practice Address - Country:US
Practice Address - Phone:303-278-6953
Practice Address - Fax:303-384-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO30550041Medicaid