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Organization
GREGG LURCOTT, DDS, PLLC
Active
Organization
GREGG LURCOTT, DDS, PLLC
Active
Parent organization
GREG LUCROTT DDS PLLC
Other names
Colorado Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREG LUCROTT DDS PLLC
Authorized official
DR. REBECCA LURCOTT MD (AUTHORIZED OFFICIAL)
(303) 744-1369
Entity
Organization
Contact information
Practice address
17167 EAST CEDAR GULCH PARKWAY, SUITE 100, PARKER, CO 80134
(303) 699-0351
Mailing address
400 S COLORADO BLVD, SUITE 450, DENVER, CO 80246
(303) 744-1369
(303) 744-9879
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
08/30/2021
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