Provider Demographics
NPI:1376718460
Name:STOKER, RICHARD D (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:STOKER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5657 S HIMALAYA ST
Mailing Address - Street 2:SUITE #270
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5307
Mailing Address - Country:US
Mailing Address - Phone:303-690-5658
Mailing Address - Fax:
Practice Address - Street 1:5657 S HIMALAYA ST
Practice Address - Street 2:SUITE #270
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-5307
Practice Address - Country:US
Practice Address - Phone:303-690-5658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO94041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice