Alpha Dental Care V PC
Dentist, Endodontics in Lone Tree, CO. Organization (NPI-2).
NPI number1992195267
StatusActive
Last updated in NPPESJan 26, 2015
Details
- NPI
- 1992195267
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha Dental Care V PC
- Organization subpart
- No
- Enumeration date
- Jan 26, 2015
- Last updated
- Jan 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | – | CO | Yes |
| 1223G0001X | Dentist, General Practice | – | CO | |
| 1223P0300X | Dentist, Periodontics | – | CO | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | CO |
Other names
- Willow Creek Dental (Doing Business As)
Practice location
9400 Station StSte 175
Lone Tree, CO 80124-6808
Phone 303-779-2797 · Fax 303-779-2687
Mailing address
9400 Station StSuite 175
Lone Tree, CO 80124-6808
Phone 303-779-2797 · Fax 303-779-2687
Authorized official
Mary Blakeley
President
3037792797
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