Provider Demographics
NPI:1053851485
Name:DAVIS, ALLISON THRELKELD (DDS)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:THRELKELD
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13402 W COAL MINE AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5407
Mailing Address - Country:US
Mailing Address - Phone:720-615-6087
Mailing Address - Fax:720-615-6086
Practice Address - Street 1:13402 W COAL MINE AVE # 125
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5407
Practice Address - Country:US
Practice Address - Phone:720-615-6087
Practice Address - Fax:720-615-6086
Is Sole Proprietor?:No
Enumeration Date:2017-03-04
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002034791223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry