Provider Demographics
NPI:1053288803
Name:PARADISE DENTISTRY AND ORTHODONTICS, PLLC
Entity type:Organization
Organization Name:PARADISE DENTISTRY AND ORTHODONTICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLTANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:617-866-9664
Mailing Address - Street 1:2363 E EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4739
Mailing Address - Country:US
Mailing Address - Phone:720-608-7770
Mailing Address - Fax:720-608-7770
Practice Address - Street 1:2363 E EVANS AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-4739
Practice Address - Country:US
Practice Address - Phone:720-608-7770
Practice Address - Fax:720-608-7770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental