Healthcare Provider Details

I. General information

NPI: 1437270006
Provider Name (Legal Business Name): GREGORY DEAN SMITH D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1745 SHEA CENTER DR
HIGHLANDS RANCH CO
80129-1537
US

IV. Provider business mailing address

140 SUGAR PLUM WAY
CASTLE ROCK CO
80104-2741
US

V. Phone/Fax

Practice location:
  • Phone: 205-964-2924
  • Fax:
Mailing address:
  • Phone: 303-912-3040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0026559
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: