Provider Demographics
NPI:1396813382
Name:SKROMME, ALLAN (DDS)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:
Last Name:SKROMME
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 1:6700 LOOKOUT RD
Mailing Address - Street 2:#2
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3313
Mailing Address - Country:US
Mailing Address - Phone:303-530-0300
Mailing Address - Fax:
Practice Address - Street 1:2525 28TH ST
Practice Address - Street 2:SUITE 140
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1256
Practice Address - Country:US
Practice Address - Phone:303-443-0070
Practice Address - Fax:303-443-0073
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO43911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice