Healthcare Provider Details

I. General information

NPI: 1689629529
Provider Name (Legal Business Name): ALLEN HOWARD VEAN D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 S COLORADO BLVD SUITE 105
DENVER CO
80246-2405
US

IV. Provider business mailing address

965 S COLORADO BLVD SUITE 105
DENVER CO
80246-2405
US

V. Phone/Fax

Practice location:
  • Phone: 303-722-2929
  • Fax: 303-733-6158
Mailing address:
  • Phone: 303-722-2929
  • Fax: 303-733-6158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number652
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: