Healthcare Provider Details

I. General information

NPI: 1063551406
Provider Name (Legal Business Name): STEPHANIE SUZANNE SAIDE KARLIN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22651 E. AURORA PARKWAY, A5
AURORA CO
80016
US

IV. Provider business mailing address

2988 REDHAVEN WAY
LITTLETON CO
80126-5595
US

V. Phone/Fax

Practice location:
  • Phone: 303-617-0303
  • Fax: 303-617-0603
Mailing address:
  • Phone: 303-471-1098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number9269
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: