Provider Demographics
NPI:1083670020
Name:PROIETTI, DAVE FRANK (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVE
Middle Name:FRANK
Last Name:PROIETTI
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 1:1300 N 7TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3062
Mailing Address - Country:US
Mailing Address - Phone:970-245-2826
Mailing Address - Fax:970-245-3302
Practice Address - Street 1:1300 N 7TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3062
Practice Address - Country:US
Practice Address - Phone:970-245-2826
Practice Address - Fax:970-245-3302
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO70861223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO7086OtherDENTAL LICENSE