Healthcare Provider Details

I. General information

NPI: 1083829790
Provider Name (Legal Business Name): ELLEN SACHS DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 COOK ST SUITE 301
DENVER CO
80206-5325
US

IV. Provider business mailing address

155 COOK ST SUITE 301
DENVER CO
80206-5325
US

V. Phone/Fax

Practice location:
  • Phone: 303-321-7930
  • Fax: 303-321-5113
Mailing address:
  • Phone: 303-321-7930
  • Fax: 303-321-5113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number7031
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: