Organization
ALAN GERBHOLZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HAMERSKY DDS (DENTIST)
(720) 317-2700
Entity
Organization
Contact information
Practice address
9227 E LINCOLN AVE, SUITE 100, LONE TREE, CO 80124-5506
(720) 317-2700
(720) 344-2663
Mailing address
PO BOX 27504, TEMPE, AZ 85285-7504
(480) 777-0607
(480) 777-1345
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
464158YYHH
MEDICARE PTAN
CO
Enumeration date
11/01/2013
Last updated
05/05/2016
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