Provider Demographics
NPI:1073511101
Name:CASSON, ANNE H (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:H
Last Name:CASSON
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 1:5401 S PRINCE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1153
Mailing Address - Country:US
Mailing Address - Phone:303-797-3867
Mailing Address - Fax:303-794-4535
Practice Address - Street 1:5401 S PRINCE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1153
Practice Address - Country:US
Practice Address - Phone:303-797-3867
Practice Address - Fax:303-794-4535
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO81901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO270982813OtherTAX ID