MEDICARE: DANIEL DOOLEY DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DEN.00206160	CO

General Provider Information

NPI Number	:	1982051397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL DOOLEY DMD

Provider Business Mailing Address
First Line	:	7623 COPPER SKY CT
Second Line	:
City	:	CASTLE PINES
State	:	CO
Zip	:	80108-9606
Country	:	US
Telephone Number	:	210-317-4118
Fax Number	:

Provider Business Practice Location Address
First Line	:	5972 S HOLLY ST
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-4221
Country	:	US
Telephone Number	:	303-850-9253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2016
Last Update Date	:	08/18/2025

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