Provider Demographics
NPI:1427934926
Name:DORMER, CYNTHIA GILLETTE (PHD, MS, RDN)
Entity type:Individual
Prefix:PROF
First Name:CYNTHIA
Middle Name:GILLETTE
Last Name:DORMER
Suffix:
Gender:F
Credentials:PHD, MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 S ELMIRA ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3608
Mailing Address - Country:US
Mailing Address - Phone:303-981-3272
Mailing Address - Fax:
Practice Address - Street 1:5040 S ELMIRA ST
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3608
Practice Address - Country:US
Practice Address - Phone:303-981-3272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered