Healthcare Provider Details

I. General information

NPI: 1487696951
Provider Name (Legal Business Name): AARON ELLIOT SLAVSKY D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1614 CARR ST
LAKEWOOD CO
80214-5983
US

IV. Provider business mailing address

1614 CARR ST
LAKEWOOD CO
80214-5983
US

V. Phone/Fax

Practice location:
  • Phone: 303-233-1704
  • Fax: 303-233-2274
Mailing address:
  • Phone: 303-233-1704
  • Fax: 303-233-2274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number8003
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: