Organization
LITTLE PARKER DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI GILLESPIE D.D.S. (OWNER)
(303) 841-7045
Entity
Organization
Contact information
Practice address
10345 PARKGLENN WAY STE 200, PARKER, CO 80138-3884
(303) 841-7045
Mailing address
10345 PARKGLENN WAY STE 200, PARKER, CO 80138-3884
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
6538
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740351303
NPI
CO
Enumeration date
09/29/2015
Last updated
09/29/2015
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