Provider Demographics
NPI:1467718809
Name:HAUPT, DUSTIN (DDS)
Entity Type:Individual
Prefix:
First Name:DUSTIN
Middle Name:
Last Name:HAUPT
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 1:14769 W 87TH PKWY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-1454
Mailing Address - Country:US
Mailing Address - Phone:720-798-1200
Mailing Address - Fax:720-798-1200
Practice Address - Street 1:14769 W 87TH PKWY
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-1454
Practice Address - Country:US
Practice Address - Phone:720-798-1200
Practice Address - Fax:720-798-1200
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002042401223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery