Healthcare Provider Details

I. General information

NPI: 1023793551
Provider Name (Legal Business Name): DANIELLE BARATZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1165 SERGEANT JON STILES DR
HIGHLANDS RANCH CO
80129
US

IV. Provider business mailing address

5185 W MAPLE RD
WEST BLOOMFIELD MI
48322-2539
US

V. Phone/Fax

Practice location:
  • Phone: 303-791-3209
  • Fax:
Mailing address:
  • Phone: 248-210-8472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901601724
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN00205805
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: