Healthcare Provider Details

I. General information

NPI: 1023026382
Provider Name (Legal Business Name): ERIN ALISSA SLOSS D.D.S., M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 E. HAMPDEN AVE. SUITE 202
DENVER CO
80224-3027
US

IV. Provider business mailing address

7150 E. HAMPDEN AVE. SUITE 202
DENVER CO
80224-3027
US

V. Phone/Fax

Practice location:
  • Phone: 303-757-3307
  • Fax: 303-248-0170
Mailing address:
  • Phone: 303-757-3307
  • Fax: 303-248-0170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number8986
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: