Healthcare Provider Details
I. General information
NPI: 1467370965
Provider Name (Legal Business Name): LUKE CHANDLER ROCKWOOD DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17531 S GOLDEN RD
GOLDEN CO
80401-2635
US
IV. Provider business mailing address
4591 S SWADLEY CT
MORRISON CO
80465-9673
US
V. Phone/Fax
- Phone: 303-278-6953
- Fax:
- Phone: 303-356-4906
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | DEN.00206718 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: