Provider Demographics
NPI:1376574525
Name:SZCZERBA, MARGERY M (DDS)
Entity Type:Individual
Prefix:
First Name:MARGERY
Middle Name:M
Last Name:SZCZERBA
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 1:501 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5409
Mailing Address - Country:US
Mailing Address - Phone:970-420-0034
Mailing Address - Fax:
Practice Address - Street 1:501 W 2ND ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-5409
Practice Address - Country:US
Practice Address - Phone:970-420-0034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2015-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO69981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice