Healthcare Provider Details

I. General information

NPI: 1215226717
Provider Name (Legal Business Name): ASHLIE PETRILLI D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2011
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2352 MEADOWS BLVD STE 160
CASTLE ROCK CO
80109-8517
US

IV. Provider business mailing address

2352 MEADOWS BLVD STE 160
CASTLE ROCK CO
80109-8517
US

V. Phone/Fax

Practice location:
  • Phone: 720-466-1723
  • Fax:
Mailing address:
  • Phone: 720-466-1723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN.00206175
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: