Provider Demographics
NPI:1467035949
Name:MAURER, NATALIE A (RDH)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:A
Last Name:MAURER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:A
Other - Last Name:VICKREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:1701 W 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-2721
Mailing Address - Country:US
Mailing Address - Phone:303-650-4460
Mailing Address - Fax:
Practice Address - Street 1:1701 W 72ND AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-2721
Practice Address - Country:US
Practice Address - Phone:303-650-4460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODH.002024807124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist