Provider Demographics
NPI:1093878126
Name:HEBERT, CINDY THERESA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:THERESA
Last Name:HEBERT
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 1:19621 SOLAR CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7311
Mailing Address - Country:US
Mailing Address - Phone:720-739-1630
Mailing Address - Fax:720-367-5025
Practice Address - Street 1:19621 SOLAR CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7311
Practice Address - Country:US
Practice Address - Phone:720-739-1630
Practice Address - Fax:720-367-5025
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN000107051223P0700X
AK1451223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty