Healthcare Provider Details

I. General information

NPI: 1912120965
Provider Name (Legal Business Name): ALLEN H. VEAN, D.M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 S COLORADO BLVD 105
DENVER CO
80246-2405
US

IV. Provider business mailing address

965 S. COLORADO BLVD. 105
DENVER CO
80246-2408
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 Number0652
License Number StateCO

VIII. Authorized Official

Name: DR. ALLEN VEAN
Title or Position: PRESIDENT
Credential: D.M.D.
Phone: 303-722-2929