Provider Demographics
NPI:1992534671
Name:ZEPHYR DENTAL IMPLANT AND SURGERY CENTER
Entity type:Organization
Organization Name:ZEPHYR DENTAL IMPLANT AND SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-381-8399
Mailing Address - Street 1:10375 PARK MEADOWS DR STE 150
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6755
Mailing Address - Country:US
Mailing Address - Phone:303-381-8399
Mailing Address - Fax:303-381-8399
Practice Address - Street 1:10375 PARK MEADOWS DR STE 150
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6755
Practice Address - Country:US
Practice Address - Phone:303-381-8399
Practice Address - Fax:303-381-8399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty