Provider Demographics
NPI:1346368685
Name:LOPER, DARLYNE MARIE (DMD)
Entity Type:Individual
Prefix:
First Name:DARLYNE
Middle Name:MARIE
Last Name:LOPER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5728 S GALLUP ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2193
Mailing Address - Country:US
Mailing Address - Phone:303-794-3969
Mailing Address - Fax:
Practice Address - Street 1:5728 S GALLUP ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2193
Practice Address - Country:US
Practice Address - Phone:303-794-3969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO72781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice