Provider Demographics
NPI:1073235396
Name:PRYOR, VERONICA (DDS)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:PRYOR
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 1:6016 S PIERSON ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-2429
Mailing Address - Country:US
Mailing Address - Phone:720-480-9903
Mailing Address - Fax:
Practice Address - Street 1:9358 DORCHESTER ST STE 103
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2511
Practice Address - Country:US
Practice Address - Phone:720-807-0541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002053521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice