Healthcare Provider Details

I. General information

NPI: 1588393664
Provider Name (Legal Business Name): AMANDA KRIEGER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10470 S PROGRESS WAY UNIT 100
PARKER CO
80134-4037
US

IV. Provider business mailing address

10470 S PROGRESS WAY UNIT 100
PARKER CO
80134-4037
US

V. Phone/Fax

Practice location:
  • Phone: 209-722-4842
  • Fax:
Mailing address:
  • Phone: 720-640-4406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number14002
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberD11958
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS111204
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberD012462
License Number StateAZ
# 5
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN.00205143
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: