Provider Demographics
NPI:1003983297
Name:HARTVIGSEN, DARIN
Entity type:Individual
Prefix:
First Name:DARIN
Middle Name:
Last Name:HARTVIGSEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 W 104TH AVE UNIT 300
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7752
Mailing Address - Country:US
Mailing Address - Phone:303-410-9800
Mailing Address - Fax:
Practice Address - Street 1:3003 W 104TH AVE UNIT 300
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7752
Practice Address - Country:US
Practice Address - Phone:303-410-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT359370-99221223G0001X
IADDS-098061223G0001X
CODEN.002061491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice