Provider Demographics
NPI:1457509390
Name:HARRISON, ASHLEIGH (DDS/)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:HARRISON
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 1:6240 S MAIN ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5376
Mailing Address - Country:US
Mailing Address - Phone:303-400-4865
Mailing Address - Fax:303-400-5051
Practice Address - Street 1:6240 S MAIN ST
Practice Address - Street 2:SUITE 220
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5376
Practice Address - Country:US
Practice Address - Phone:303-400-4865
Practice Address - Fax:303-400-5051
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9722122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist