Provider Demographics
NPI:1043498694
Name:TARGOS, NED STEVE (DDS)
Entity Type:Individual
Prefix:
First Name:NED
Middle Name:STEVE
Last Name:TARGOS
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 1:700 E SPEER BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-4256
Mailing Address - Country:US
Mailing Address - Phone:303-733-1010
Mailing Address - Fax:303-733-2451
Practice Address - Street 1:700 E SPEER BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-4256
Practice Address - Country:US
Practice Address - Phone:303-733-1010
Practice Address - Fax:303-733-2451
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO73871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice