Healthcare Provider Details

I. General information

NPI: 1841194354
Provider Name (Legal Business Name): CRKD PARTNERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2352 MEADOWS BLVD. SUITE 200
CASTLE ROCK CO
80109
US

IV. Provider business mailing address

2352 MEADOWS BLVD. SUITE 200
CASTLE ROCK CO
80109
US

V. Phone/Fax

Practice location:
  • Phone: 303-814-1335
  • Fax: 720-733-7561
Mailing address:
  • Phone: 303-814-1335
  • Fax: 720-733-7561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JULIA ROSE WIEGAND
Title or Position: OWNER
Credential: DDS
Phone: 303-814-1335