Individual
NANCY ENDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14710 W COLFAX AVE UNIT 150, LAKEWOOD, CO 80401-3277
(303) 279-0999
Mailing address
14710 W COLFAX AVE UNIT 150, LAKEWOOD, CO 80401-3277
(303) 279-0999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00204446
CO
1223G0001X
General Practice Dentistry
60408
KS
1223G0001X
General Practice Dentistry
Primary
DEN.00204446
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116977
BCBS OF KS
KS
05
—
200383350A
—
KS
Enumeration date
09/27/2006
Last updated
09/24/2020
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