Provider Demographics
NPI:1447863725
Name:STAFFENDUDLEY PLLC
Entity type:Organization
Organization Name:STAFFENDUDLEY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CDO
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIGGEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-875-8896
Mailing Address - Street 1:3 SUPERIOR DR STE 275
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8657
Mailing Address - Country:US
Mailing Address - Phone:303-875-8896
Mailing Address - Fax:
Practice Address - Street 1:1220 W 38TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-2613
Practice Address - Country:US
Practice Address - Phone:303-317-6990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PDS-STAFFEN LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-26
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental