Provider Demographics
NPI:1568919546
Name:LORETTA M. SADAR DDS PC
Entity Type:Organization
Organization Name:LORETTA M. SADAR DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SADAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-920-9424
Mailing Address - Street 1:8601 TURNPIKE DR.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7043
Mailing Address - Country:US
Mailing Address - Phone:303-920-9424
Mailing Address - Fax:303-426-5269
Practice Address - Street 1:8601 TURNPIKE DR UNIT 103
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7044
Practice Address - Country:US
Practice Address - Phone:303-920-9424
Practice Address - Fax:303-426-5269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6877122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty