Healthcare Provider Details

I. General information

NPI: 1013379858
Provider Name (Legal Business Name): MICHELLE FERRAIOLI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICHELLE GLOWINSKY

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 MAIN ST # A101
MEAD CO
80542-5030
US

IV. Provider business mailing address

234 MAIN STREET A101 PO BOX 158
MEAD CO
80542
US

V. Phone/Fax

Practice location:
  • Phone: 720-677-0018
  • Fax:
Mailing address:
  • Phone: 720-677-0018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDI02714700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDEN.00204318
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: