Healthcare Provider Details

I. General information

NPI: 1548278807
Provider Name (Legal Business Name): AARON H. TUCHKLAPER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W 64TH ST
LOVELAND CO
80538-1197
US

IV. Provider business mailing address

481 W 123RD AVE UNIT 12208
DENVER CO
80234-1833
US

V. Phone/Fax

Practice location:
  • Phone: 970-635-4455
  • Fax: 970-461-4912
Mailing address:
  • Phone: 248-974-3183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN-10163
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11206
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: