Healthcare Provider Details

I. General information

NPI: 1619141041
Provider Name (Legal Business Name): FRANCIS DAVID HURD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 S BOULDER RD
LOUISVILLE CO
80027-1345
US

IV. Provider business mailing address

877 S BOULDER RD
LOUISVILLE CO
80027-1345
US

V. Phone/Fax

Practice location:
  • Phone: 303-665-8228
  • Fax:
Mailing address:
  • Phone: 303-665-8228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9226
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: