Provider Demographics
NPI:1417078957
Name:ALBIN-DAVIS, TERESA MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:MARIE
Last Name:ALBIN-DAVIS
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 1:10371 S PARK GLENN WAY STE 175
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-3878
Mailing Address - Country:US
Mailing Address - Phone:720-851-1676
Mailing Address - Fax:720-851-1703
Practice Address - Street 1:10371 S PARK GLENN WAY STE 175
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3878
Practice Address - Country:US
Practice Address - Phone:720-851-1676
Practice Address - Fax:720-851-1703
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO70911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice