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Provider Information for 1710963343

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MR. ANDREW RICHARD STUBBS DMD

Gender: MALE

Individual NPI: 1710963343

Calendar   Last Updated:  2018-10-22
  Certification Date: 

Details

Name Value
NPI 1710963343
Enumeration Date 2005-12-15
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 10450 PARK MEADOWS DR. STE 306
LONE TREE, CO 80124
United States

Phone: 303-524-9343 | Fax: 303-568-9636
View Map External Link
Primary Practice Address 10450 PARK MEADOWS DR. STE 306
LONE TREE, CO 80124
United States

Phone: 303-524-9343 | Fax: 303-568-9636
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223E0200X - Dentist Endodontics CO DEN.00010252
No 1223E0200X - Dentist Endodontics NV S7-100C
No 1223G0001X - Dentist General Practice MI L755471