Provider Demographics
NPI:1447905096
Name:NEDA TARJAN DDS PLLC
Entity type:Organization
Organization Name:NEDA TARJAN DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TARJAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-445-2550
Mailing Address - Street 1:9461 GREEN ISLAND PL
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-3146
Mailing Address - Country:US
Mailing Address - Phone:720-445-2550
Mailing Address - Fax:
Practice Address - Street 1:6955 S YORK ST STE 415
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-3277
Practice Address - Country:US
Practice Address - Phone:303-226-6290
Practice Address - Fax:303-226-6291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-12
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental