Provider Demographics
NPI:1447495148
Name:ENDODONTIC SPECIALISTS OF THE ROCKIES
Entity type:Organization
Organization Name:ENDODONTIC SPECIALISTS OF THE ROCKIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:F
Authorized Official - Last Name:GIRARDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-461-1994
Mailing Address - Street 1:2996 GINNALA DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-3002
Mailing Address - Country:US
Mailing Address - Phone:970-461-1994
Mailing Address - Fax:970-461-0809
Practice Address - Street 1:1331 E PROSPECT RD
Practice Address - Street 2:BUILDING B-1
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1367
Practice Address - Country:US
Practice Address - Phone:970-482-4916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty