Provider Demographics
NPI:1366694366
Name:SEXTON, CORA RUTH (RDH)
Entity Type:Individual
Prefix:MRS
First Name:CORA
Middle Name:RUTH
Last Name:SEXTON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 S WADSWORTH BLVD
Mailing Address - Street 2:SUITE # 104
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-3275
Mailing Address - Country:US
Mailing Address - Phone:303-984-9700
Mailing Address - Fax:
Practice Address - Street 1:2323 S WADSWORTH BLVD
Practice Address - Street 2:SUITE # 104
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-3275
Practice Address - Country:US
Practice Address - Phone:303-984-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO905576124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist