Organization
SOUTHLANDS ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE GILLESPIE DDS (OWNER)
(720) 436-1303
Entity
Organization
Contact information
Practice address
24450 E SMOKY HILL RD, AURORA, CO 80016-1385
(303) 307-4901
Mailing address
3464 N SALIDA ST, AURORA, CO 80011-5031
(303) 307-9999
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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