MEDICARE: LORETTA M. SADAR DDS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6877	CO

General Provider Information

NPI Number	:	1568919546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LORETTA M. SADAR DDS PC

Provider Business Mailing Address
First Line	:	8601 TURNPIKE DR.
Second Line	:	SUITE 103
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-7043
Country	:	US
Telephone Number	:	303-920-9424
Fax Number	:	303-426-5269

Provider Business Practice Location Address
First Line	:	8601 TURNPIKE DR UNIT 103
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80031-7044
Country	:	US
Telephone Number	:	303-920-9424
Fax Number	:	303-426-5269

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. LORETTA MARIE SADAR
Credential	:	DDS
Telephone Number	:	303-920-9424

Provider Enumeration Date	:	09/07/2016
Last Update Date	:	09/07/2016

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