Provider Demographics
NPI:1235100595
Name:MADDEN, WILLIAM E (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:MADDEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:WILLIAM
Other - Middle Name:E
Other - Last Name:MADDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4101 E WESLEY AVE
Mailing Address - Street 2:SUITE #4
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6050
Mailing Address - Country:US
Mailing Address - Phone:303-758-3230
Mailing Address - Fax:303-758-3552
Practice Address - Street 1:4101 E WESLEY AVE
Practice Address - Street 2:SUITE #4
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6050
Practice Address - Country:US
Practice Address - Phone:303-758-3230
Practice Address - Fax:303-758-3552
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice