Healthcare Provider Details

I. General information

NPI: 1952594988
Provider Name (Legal Business Name): SAUL ANEL ESCALA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 S FEDERAL BLVD
DENVER CO
80219-2932
US

IV. Provider business mailing address

590 S FEDERAL BLVD
DENVER CO
80219-2932
US

V. Phone/Fax

Practice location:
  • Phone: 303-936-6188
  • Fax: 720-389-8114
Mailing address:
  • Phone: 303-936-6188
  • Fax: 720-389-8114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number9509
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: