NPI 1013573815

Ccdi Denver Pdc PLLC

Organisation Dentist Denver, CO

Practice location

Address: 1573 S Broadway, Denver, CO 80210-2607
Phone: (303) 333-1844
Fax: (720) 370-4777
Mailing address: PO Box 970484, Orem, UT 84097-0309

Authorised official

Name: Scott Gene Ferguson
Title: Owner
Phone: (303) 333-1844

Registered specialties (4)

Dentist Primary

Dental Providers Taxonomy 122300000X

Other Dentist providers in Colorado →

Endodontics

Dental Providers Taxonomy 1223E0200X

Periodontics

Dental Providers Taxonomy 1223P0300X

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Registry record

NPI: 1013573815
Entity type: Organization
NPI issued: 16 May 2019
Record last updated: 16 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.