Healthcare Provider Details

I. General information

NPI: 1174522460
Provider Name (Legal Business Name): JOSEPH B. DANKEY D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 GARDEN CTR
BROOMFIELD CO
80020-7083
US

IV. Provider business mailing address

10 GARDEN CTR
BROOMFIELD CO
80020-7083
US

V. Phone/Fax

Practice location:
  • Phone: 303-469-7874
  • Fax: 303-469-7741
Mailing address:
  • Phone: 303-469-7874
  • Fax: 303-469-7741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberHDI-100941
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: