Provider Demographics
NPI:1093778979
Name:FURR, DENNIS LEE (DO)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:LEE
Last Name:FURR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10455 PARK MEADOWS DRIVE
Mailing Address - Street 2:BUILDING 1 SUITE 1
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5414
Mailing Address - Country:US
Mailing Address - Phone:303-708-0246
Mailing Address - Fax:303-708-0247
Practice Address - Street 1:10455 PARK MEADOWS DRIVE
Practice Address - Street 2:BUILDING 1 SUITE 1
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5414
Practice Address - Country:US
Practice Address - Phone:303-708-0246
Practice Address - Fax:303-708-0247
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27722207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO400034Medicare PIN
COE27066Medicare UPIN