Healthcare Provider Details

I. General information

NPI: 1487569737
Provider Name (Legal Business Name): RADZ DENTAL SLEEP CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 OAKWOOD PARK PLZ STE 206
CASTLE ROCK CO
80104-1884
US

IV. Provider business mailing address

2 OAKWOOD PARK PLZ STE 206
CASTLE ROCK CO
80104-1884
US

V. Phone/Fax

Practice location:
  • Phone: 303-377-5337
  • Fax: 303-648-6696
Mailing address:
  • Phone: 303-377-5337
  • Fax: 303-648-6696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY RADZ
Title or Position: OWNER
Credential: DDS
Phone: 303-377-5337