Healthcare Provider Details

I. General information

NPI: 1164957429
Provider Name (Legal Business Name): NATALYA STARKLE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATALYA DUNAEVA

II. Dates (important events)

Enumeration Date: 04/25/2017
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 BANNOCK ST # L
DENVER CO
80204-4506
US

IV. Provider business mailing address

660 BANNOCK ST # L
DENVER CO
80204-4506
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-8200
  • Fax: 303-602-8206
Mailing address:
  • Phone: 303-602-8200
  • Fax: 303-602-8206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00203562
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: