| Theresa Shaver Orthodontics | |
|
5001 S Parker Rd Ste 201 Aurora CO 80015-1183 | |
| (303) 751-1313 | |
| (303) 750-3070 |
| Full Name | Theresa Shaver Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5001 S Parker Rd Ste 201, Aurora, Colorado |
| Authorized Official Name and Position | Theresa Lynn Shaver (OWNER/ORTHDONTIST) |
| Authorized Official Contact | 3037511313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Shaver Orthodontics 5001 S Parker Rd Ste 201 Aurora CO 80015-1183 Ph: (303) 751-1313 | Theresa Shaver Orthodontics 5001 S Parker Rd Ste 201 Aurora CO 80015-1183 Ph: (303) 751-1313 |
| NPI Number | 1073042370 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073042370 | NPI | - | NPPES |
| 17452252 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 7280 (Colorado) | Primary |
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