Provider Demographics
NPI:1619961844
Name:POULOS & SOMERS PC
Entity Type:Organization
Organization Name:POULOS & SOMERS PC
Other - Org Name:SILBERMAN, POULOS & SOMERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMERS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:303-832-4867
Mailing Address - Street 1:700 BROADWAY
Mailing Address - Street 2:STE 1135
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3421
Mailing Address - Country:US
Mailing Address - Phone:303-832-4867
Mailing Address - Fax:303-861-7267
Practice Address - Street 1:700 BROADWAY
Practice Address - Street 2:STE 1135
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3421
Practice Address - Country:US
Practice Address - Phone:303-832-4867
Practice Address - Fax:303-861-7267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-02
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty