Provider Demographics
NPI:1134691058
Name:DAWSON DERMATOLOGY GROUP PLLC
Entity Type:Organization
Organization Name:DAWSON DERMATOLOGY GROUP PLLC
Other - Org Name:CHERRY HILLS DERMATOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNELISE
Authorized Official - Middle Name:LORELEI
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-390-0795
Mailing Address - Street 1:499 E HAMPDEN AVE STE 390
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2780
Mailing Address - Country:US
Mailing Address - Phone:303-390-0795
Mailing Address - Fax:720-386-3395
Practice Address - Street 1:499 E HAMPDEN AVE STE 390
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2780
Practice Address - Country:US
Practice Address - Phone:303-390-0795
Practice Address - Fax:720-386-3395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty