Provider Demographics
NPI:1477986404
Name:ABERCROMBIE, ARTHUR DEE (DMD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:DEE
Last Name:ABERCROMBIE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10350 FEDERAL BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FEDERAL HEIGHTS
Mailing Address - State:CO
Mailing Address - Zip Code:80260-8615
Mailing Address - Country:US
Mailing Address - Phone:303-427-2722
Mailing Address - Fax:303-427-9280
Practice Address - Street 1:10350 FEDERAL BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:FEDERAL HEIGHTS
Practice Address - State:CO
Practice Address - Zip Code:80260-8615
Practice Address - Country:US
Practice Address - Phone:303-427-2722
Practice Address - Fax:303-427-9280
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO202046122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist