Provider Demographics
NPI:1215219472
Name:DOUKAS, TRICIA ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:ANN
Last Name:DOUKAS
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 1:10101 E HAMPDEN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4948
Mailing Address - Country:US
Mailing Address - Phone:303-671-0101
Mailing Address - Fax:
Practice Address - Street 1:10101 E HAMPDEN AVE STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4948
Practice Address - Country:US
Practice Address - Phone:303-671-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA605891223G0001X
CO2018241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice