Healthcare Provider Details

I. General information

NPI: 1043218985
Provider Name (Legal Business Name): DANIEL EDWARD ESPOSITO MD, DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 07/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6179 S BALSAM WAY SUITE #100
LITTLETON CO
80123-3091
US

IV. Provider business mailing address

6179 S BALSAM WAY SUITE #100
LITTLETON CO
80123-3091
US

V. Phone/Fax

Practice location:
  • Phone: 303-933-8282
  • Fax: 303-948-5610
Mailing address:
  • Phone: 303-933-8282
  • Fax: 303-948-5610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number8258
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: