Provider Demographics
NPI:1962746073
Name:HIGHLAND SMILES, PLLC
Entity type:Organization
Organization Name:HIGHLAND SMILES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-623-0407
Mailing Address - Street 1:3480 W 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3104
Mailing Address - Country:US
Mailing Address - Phone:303-623-0407
Mailing Address - Fax:303-433-6870
Practice Address - Street 1:3480 W 32ND AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3104
Practice Address - Country:US
Practice Address - Phone:303-623-0407
Practice Address - Fax:303-433-6870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty