Impressions Dental Spa

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

905564 Issued in CO

Legal business name

IMPRESSIONS DENTAL SPA

Practice address

191 University Blvd # 522
Denver, CO 80206-4613

Phone

(720) 663-0166

NPI assigned

Aug 13, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Angell, RDH

Title

Owner, RDH

Phone

(720) 663-0116

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1962811166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 UNIVERSITY BLVD # 522",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064613",
            "telephone_number": "720-663-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 UNIVERSITY BLVD # 522",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064613",
            "telephone_number": "720-663-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRESSIONS DENTAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "ANGELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER, RDH",
        "authorized_official_telephone_number": "720-663-0116",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "905564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Denver, CO
• Providers in Denver, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.