Provider Demographics
NPI:1457462038
Name:PARLET, CRAIG ROBERT (DDS)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:ROBERT
Last Name:PARLET
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 1:1675 BRIARGATE BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3452
Mailing Address - Country:US
Mailing Address - Phone:719-528-6200
Mailing Address - Fax:719-534-9713
Practice Address - Street 1:1675 BRIARGATE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3452
Practice Address - Country:US
Practice Address - Phone:719-528-6200
Practice Address - Fax:719-534-9713
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO60881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice