Provider Demographics
NPI:1558451104
Name:SIEVERS, JOHN D (DDS PC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:SIEVERS
Suffix:
Gender:M
Credentials:DDS PC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7901 E BELLEVIEW AVE
Mailing Address - Street 2:SUITE 260
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6010
Mailing Address - Country:US
Mailing Address - Phone:303-771-7907
Mailing Address - Fax:303-771-7913
Practice Address - Street 1:7901 E BELLEVIEW AVE
Practice Address - Street 2:SUITE 260
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-6010
Practice Address - Country:US
Practice Address - Phone:303-771-7907
Practice Address - Fax:303-771-7913
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO1051011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice