Provider Demographics
NPI:1508393653
Name:BRITA AND MATTHEW LOEPPKE, DDS PLLC
Entity Type:Organization
Organization Name:BRITA AND MATTHEW LOEPPKE, DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:LOEPPKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:701-471-3497
Mailing Address - Street 1:5743 S KITTREDGE ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-4003
Mailing Address - Country:US
Mailing Address - Phone:701-471-3497
Mailing Address - Fax:
Practice Address - Street 1:18695 STAGE RUN RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4911
Practice Address - Country:US
Practice Address - Phone:303-841-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-20
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty