Healthcare Provider Details

I. General information

NPI: 1760483580
Provider Name (Legal Business Name): CLAUDIA ERIN OSTTEEN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 11/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 MORNING SUN DR SUITE 200W
WOODLAND PARK CO
80863-9160
US

IV. Provider business mailing address

150 MORNING SUN DR SUITE 200W
WOODLAND PARK CO
80863-9160
US

V. Phone/Fax

Practice location:
  • Phone: 719-387-0472
  • Fax:
Mailing address:
  • Phone: 719-387-0472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN00202514
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: