Healthcare Provider Details

I. General information

NPI: 1194148163
Provider Name (Legal Business Name): ARTHUR MEER YAGUDAYEV DDS MDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2014
Last Update Date: 12/15/2021
Certification Date: 12/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7555 E HAMPDEN AVE STE 305
DENVER CO
80231-4834
US

IV. Provider business mailing address

9545 E CHENANGO AVE
GREENWOOD VILLAGE CO
80111-1325
US

V. Phone/Fax

Practice location:
  • Phone: 720-612-7068
  • Fax:
Mailing address:
  • Phone: 347-570-7351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number00202155
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: