Organization
SOUTHLANDS ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ISAAC WHITNEY DDS (ENDODONTIST)
(303) 397-7668
Entity
Organization
Contact information
Practice address
6240 S MAIN ST STE 285, AURORA, CO 80016-5321
(303) 366-7668
(303) 366-7669
Mailing address
10450 PARK MEADOWS DR STE 102, LONE TREE, CO 80124-5528
(303) 397-7668
(303) 397-7661
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DEN8212
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN8212
DENTIST LICENSE
CO
Enumeration date
06/13/2007
Last updated
08/22/2020
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