Provider Demographics
NPI:1164583746
Name:STELLA, HELEN (DMD)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:
Last Name:STELLA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9462 FEDERAL BLVD
Mailing Address - Street 2:
Mailing Address - City:FEDERAL HEIGHTS
Mailing Address - State:CO
Mailing Address - Zip Code:80260-5826
Mailing Address - Country:US
Mailing Address - Phone:303-427-2722
Mailing Address - Fax:303-427-9280
Practice Address - Street 1:9462 FEDERAL BLVD
Practice Address - Street 2:
Practice Address - City:FEDERAL HEIGHTS
Practice Address - State:CO
Practice Address - Zip Code:80260-5826
Practice Address - Country:US
Practice Address - Phone:303-427-2722
Practice Address - Fax:303-427-9280
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO91851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice