Provider Demographics
NPI:1457834269
Name:A P DENTAL GROUP PLLC
Entity Type:Organization
Organization Name:A P DENTAL GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:AXELROD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-988-3814
Mailing Address - Street 1:7373 W JEFFERSON AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80235-2020
Mailing Address - Country:US
Mailing Address - Phone:303-988-3814
Mailing Address - Fax:
Practice Address - Street 1:7373 W JEFFERSON AVE STE 203
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80235-2020
Practice Address - Country:US
Practice Address - Phone:303-988-3814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-08
Last Update Date:2018-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty