# GREGG LURCOTT, DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREGG LURCOTT DDS PLLC
- **Other names:** Colorado Oral Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699347187
- **Legal business name:** GREGG LURCOTT DDS PLLC
- **Authorized official:** DR. REBECCA LURCOTT M.D. (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (303) 744-1369

## Contact information

- **Practice address:** 2373 CENTRAL PARK BLVD SUITE 301, DENVER, CO 80238
- **Practice address phone:** (303) 955-5587
- **Practice address fax:** (303) 955-5596
- **Mailing address:** 400 S COLORADO BLVD SUITE 450, DENVER, CO 80246
- **Mailing address phone:** (303) 744-1369
- **Mailing address fax:** (303) 744-9879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2021
- **Last updated:** 08/30/2021