Healthcare Provider Details

I. General information

NPI: 1326278367
Provider Name (Legal Business Name): ERIN WATTS CARPENTER DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2009
Last Update Date: 07/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25521 EAST SMOKY HILL ROAD SUITE 210
AURORA CO
80016
US

IV. Provider business mailing address

25521 EAST SMOKY HILL ROAD SUITE 210
AURORA CO
80016
US

V. Phone/Fax

Practice location:
  • Phone: 303-617-5437
  • Fax: 303-617-4500
Mailing address:
  • Phone: 303-617-5437
  • Fax: 303-617-4500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number8466
License Number StateCO

VIII. Authorized Official

Name: DR. ERIN WATTS CARPENTER
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 303-617-5437