Provider Demographics
NPI:1346209186
Name:MAGSTADT, KATIE QUYEN MANH (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:QUYEN MANH
Last Name:MAGSTADT
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 1:9581 S COLTSFOOT DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-8863
Mailing Address - Country:US
Mailing Address - Phone:720-254-8828
Mailing Address - Fax:
Practice Address - Street 1:10180 E COLFAX AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-5038
Practice Address - Country:US
Practice Address - Phone:720-819-7194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO90781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice