Organization
RUSSELL L. CASEMENT, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL L CASEMENT DDS (PRESIDENT)
(303) 758-0866
Entity
Organization
Contact information
Practice address
1355 S COLORADO BLVD STE 320, DENVER, CO 80222-3316
(303) 758-0866
(303) 758-3657
Mailing address
1355 S COLORADO BLVD STE 320, DENVER, CO 80222-3316
(303) 758-0866
(303) 758-3657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3674
CO
1223G0001X
General Practice Dentistry
8658
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02036747
—
CO
01
—
1083619035
INDIVIDUAL NPI
CO
01
—
1679575740
INDIVIDUAL NPI
CO
Enumeration date
04/12/2010
Last updated
04/12/2010
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