Healthcare Provider Details

I. General information

NPI: 1497859896
Provider Name (Legal Business Name): ARTHUR L MARGOLIS DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 SOUTH COLORADO BLVD SUITE 102
DENVER CO
80246
US

IV. Provider business mailing address

965 SOUTH COLORADO BLVD SUITE 102
DENVER CO
80246
US

V. Phone/Fax

Practice location:
  • Phone: 303-744-1701
  • Fax: 303-765-4841
Mailing address:
  • Phone: 303-744-1701
  • Fax: 303-765-4841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number3296
License Number StateCO

VIII. Authorized Official

Name: DR. ARTHUR L MARGOLIS
Title or Position: OWNER
Credential: DDS PC
Phone: 303-744-1701