Provider Demographics
NPI:1225186984
Name:MORTON O SPERLING DDS PC
Entity Type:Organization
Organization Name:MORTON O SPERLING DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MORTON
Authorized Official - Middle Name:O
Authorized Official - Last Name:SPERLING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-399-7166
Mailing Address - Street 1:155 COOK ST
Mailing Address - Street 2:SUITE 421
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5325
Mailing Address - Country:US
Mailing Address - Phone:303-399-7166
Mailing Address - Fax:303-399-7167
Practice Address - Street 1:155 COOK ST
Practice Address - Street 2:SUITE 421
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5325
Practice Address - Country:US
Practice Address - Phone:303-399-7166
Practice Address - Fax:303-399-7167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty