Organization
CREEKSIDE ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW RICHARD STUBBS DMD ()WNER)
(303) 594-4621
Entity
Organization
Contact information
Practice address
10450 PARK MEADOWS DR, SUITE 306, LONE TREE, CO 80124-5529
(303) 524-9343
Mailing address
10450 PARK MEADOWS DR, SUITE 306, LONE TREE, CO 80124-5529
(303) 524-9343
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN10252
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710963343
ANDREW STUBBS NPI NUMBER
—
01
—
DEN10252
COLORADO DENTAL LICENSE
CO
Enumeration date
05/08/2015
Last updated
05/08/2015
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