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NPI 1467036731

NPI 1467036731 : ANN ELIZABETH SKRADSKI DDS : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1467036731
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    Entity Type          |    Individual 
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    Provider Name        |    ANN ELIZABETH SKRADSKI DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/12/2021
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    301 W 6TH AVE 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80204-5182
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    Country              |    US
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    Telephone            |    303-436-6000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6255 QUEBEC PKWY 
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    City                 |    COMMERCE CITY
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    State                |    CO
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    Zip                  |    80022-4812
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    Country              |    US
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    Telephone            |    303-697-2583
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    DEN.00204808
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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