Provider Demographics
NPI:1376687707
Name:ENGEL, NEAL H (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:H
Last Name:ENGEL
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 1:1710 S BUCKLEY RD
Mailing Address - Street 2:SUITE 8A
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-5639
Mailing Address - Country:US
Mailing Address - Phone:303-696-6763
Mailing Address - Fax:303-696-2185
Practice Address - Street 1:1710 S BUCKLEY RD
Practice Address - Street 2:SUITE 8A
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-5639
Practice Address - Country:US
Practice Address - Phone:303-696-6763
Practice Address - Fax:303-696-2185
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1048221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice