Healthcare Provider Details

I. General information

NPI: 1235065004
Provider Name (Legal Business Name): MYKOLAS VARKALIS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

753 MALETA LN STE 201
CASTLE ROCK CO
80108-7609
US

IV. Provider business mailing address

901 N COLORADO BLVD APT 5217
DENVER CO
80206-4091
US

V. Phone/Fax

Practice location:
  • Phone: 941-350-7278
  • Fax:
Mailing address:
  • Phone: 941-350-7278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: MYKOLAS VARKALIS
Title or Position: MANAGING MEMBER
Credential: DMD
Phone: 941-350-7278