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Organization

GREGG LURCOTT, DDS, PLLC

Active
Parent organization
GREG LUCROTT DDS PLLC
Other names
Colorado Oral Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
GREG LUCROTT DDS PLLC
Authorized official
DR. REBECCA LURCOTT MD (AUTHORIZED OFFICIAL)
(303) 744-1369
Entity
Organization

Contact information

Practice address
17167 EAST CEDAR GULCH PARKWAY, SUITE 100, PARKER, CO 80134
(303) 699-0351
Mailing address
400 S COLORADO BLVD, SUITE 450, DENVER, CO 80246
(303) 744-1369
(303) 744-9879

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35281278
CO
Enumeration date
07/06/2021
Last updated
08/30/2021
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