Healthcare Provider Details

I. General information

NPI: 1821129586
Provider Name (Legal Business Name): ERIK C MATHYS DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

6950 E BELLEVIEW AVE STE 300
GREENWOOD VILLAGE CO
80111-1629
US

IV. Provider business mailing address

6950 E BELLEVIEW AVE STE 300
GREENWOOD VILLAGE CO
80111-1629
US

V. Phone/Fax

Practice location:
  • Phone: 303-741-3300
  • Fax: 303-694-6270
Mailing address:
  • Phone: 303-741-3300
  • Fax: 303-694-6270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number7226
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: