Healthcare Provider Details

I. General information

NPI: 1972436236
Provider Name (Legal Business Name): EMILY CLAIR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 S COLORADO BLVD
DENVER CO
80246-3003
US

IV. Provider business mailing address

16436 WAGON PL
PARKER CO
80134-9329
US

V. Phone/Fax

Practice location:
  • Phone: 303-758-0575
  • Fax:
Mailing address:
  • Phone: 407-221-5098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number00206669
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: