Provider Demographics
NPI:1003983750
Name:PAISLEY, IAN JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:JAMES
Last Name:PAISLEY
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 1:4700 E BROMLEY LN STE 201
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-7821
Mailing Address - Country:US
Mailing Address - Phone:303-659-0667
Mailing Address - Fax:303-659-5247
Practice Address - Street 1:4700 E BROMLEY LN STE 201
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-7821
Practice Address - Country:US
Practice Address - Phone:303-659-0667
Practice Address - Fax:303-659-5247
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO70882860Medicaid