Provider Demographics
NPI:1093848293
Name:BRUCE A. UCHIDA D.D.S.
Entity Type:Organization
Organization Name:BRUCE A. UCHIDA D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:UCHIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-234-1349
Mailing Address - Street 1:12600 W COLFAX AVE
Mailing Address - Street 2:SUITE B100
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-3733
Mailing Address - Country:US
Mailing Address - Phone:303-234-1349
Mailing Address - Fax:303-234-1392
Practice Address - Street 1:12600 W COLFAX AVE
Practice Address - Street 2:SUITE B100
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-3733
Practice Address - Country:US
Practice Address - Phone:303-234-1349
Practice Address - Fax:303-234-1392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104713122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty