Organization Name: | RACHEL PACKER DDS PC |
NPI Number: | 1003058116 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHEL PACKER (OWNER/PRESIDENT) |
Mailing Address: | 2700 E Bridge St Ste 201 Brighton |
State: | CO US |
Postal Code: | 806012561 |
Phone Number: | 3036597700 |
Fax Number: | 3036597190 |
NPI Enumeration Date: | 04/03/2009 |
NPI Last Update Date: | 04/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 8466 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |