Provider Demographics
NPI:1275762817
Name:ASHBY, ANDREW NATHANIEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:NATHANIEL
Last Name:ASHBY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4380 S SYRACUSE ST STE 502
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2628
Mailing Address - Country:US
Mailing Address - Phone:303-694-0585
Mailing Address - Fax:303-694-0517
Practice Address - Street 1:4380 S SYRACUSE ST STE 502
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2628
Practice Address - Country:US
Practice Address - Phone:303-694-0585
Practice Address - Fax:303-694-0517
Is Sole Proprietor?:No
Enumeration Date:2009-07-03
Last Update Date:2009-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO99331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice