Individual
DR. GREGG LAWRENCE LURCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 S COLORADO BLVD, SUITE 450, DENVER, CO 80246-1253
(303) 744-1369
(303) 744-9879
Mailing address
2 GOOSEBERRY LN, ENGLEWOOD, CO 80113-4126
(303) 744-1369
(303) 744-9879
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901017646
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9835
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970E07680
BLUE CROSS PIN
MI
Enumeration date
05/22/2006
Last updated
03/20/2014
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