Provider Demographics
NPI:1447251780
Name:FREY, RON D (DDS)
Entity type:Individual
Prefix:DR
First Name:RON
Middle Name:D
Last Name:FREY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7060 E HAMPDEN AVE
Mailing Address - Street 2:SUITE #101
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3023
Mailing Address - Country:US
Mailing Address - Phone:303-758-2066
Mailing Address - Fax:303-758-2550
Practice Address - Street 1:7060 E HAMPDEN AVE
Practice Address - Street 2:SUITE #101
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3023
Practice Address - Country:US
Practice Address - Phone:303-758-2066
Practice Address - Fax:303-758-2550
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1053881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice