Individual
DR. THEODORE RICHARD SHILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3525 W OXFORD AVE UNIT G-3, DENVER, CO 80236-3115
(303) 315-6150
(720) 259-4559
Mailing address
3525 W OXFORD AVE UNIT G-3, DENVER, CO 80236-3115
(303) 315-6150
(720) 259-4559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00010513
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60886374
—
CO
Enumeration date
06/17/2011
Last updated
10/05/2023
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