Provider Demographics
NPI:1558570218
Name:TSIKOUDAKIS, ARISTIDES A (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARISTIDES
Middle Name:A
Last Name:TSIKOUDAKIS
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 1:255 UNION BLVD
Mailing Address - Street 2:SUITE 440
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1810
Mailing Address - Country:US
Mailing Address - Phone:303-984-9200
Mailing Address - Fax:303-984-5646
Practice Address - Street 1:255 UNION BLVD
Practice Address - Street 2:SUITE 440
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1810
Practice Address - Country:US
Practice Address - Phone:303-984-9200
Practice Address - Fax:303-984-5646
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO89271223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics