Provider Demographics
NPI:1528014560
Name:SCARPELLA, PASCO W (DDS)
Entity Type:Individual
Prefix:DR
First Name:PASCO
Middle Name:W
Last Name:SCARPELLA
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 1:965 PLATTE RIVER BLVD
Mailing Address - Street 2:#E
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4353
Mailing Address - Country:US
Mailing Address - Phone:303-659-8200
Mailing Address - Fax:
Practice Address - Street 1:965 PLATTE RIVER BLVD
Practice Address - Street 2:#E
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4353
Practice Address - Country:US
Practice Address - Phone:303-659-8200
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO106313122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist