Organization
PARKFIELD ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE M GILLESPIE DDS (OWNER)
(720) 436-1303
Entity
Organization
Contact information
Practice address
3464 N SALIDA ST, SUITE B, AURORA, CO 80011
(303) 307-4901
(303) 307-4796
Mailing address
3464 N SALIDA ST, SUITE B, AURORA, CO 80011
(303) 307-4901
(303) 307-4796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
00202397
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900170896
—
CO
Enumeration date
03/10/2015
Last updated
09/22/2021
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