Provider Demographics
NPI:1437143385
Name:GINTHER, STEFAN WILHELM (DDS)
Entity Type:Individual
Prefix:
First Name:STEFAN
Middle Name:WILHELM
Last Name:GINTHER
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 1:6240 S MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5413
Mailing Address - Country:US
Mailing Address - Phone:303-693-2288
Mailing Address - Fax:303-693-2292
Practice Address - Street 1:6240 S MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5321
Practice Address - Country:US
Practice Address - Phone:303-693-2288
Practice Address - Fax:303-693-2292
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO84851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice