Provider Demographics
NPI:1871934042
Name:ORLIK, ALEKSANDER ANDRZEJ (DDS)
Entity type:Individual
Prefix:DR
First Name:ALEKSANDER
Middle Name:ANDRZEJ
Last Name:ORLIK
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 1:2893 NEBRINA PL
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1517
Mailing Address - Country:US
Mailing Address - Phone:317-989-9890
Mailing Address - Fax:
Practice Address - Street 1:1100 S COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-3003
Practice Address - Country:US
Practice Address - Phone:303-758-0575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN002020271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice