Provider Demographics
NPI:1629476544
Name:DENT, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:DENT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3738 WEST PRINCETON CIRCLE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236
Mailing Address - Country:US
Mailing Address - Phone:303-761-2885
Mailing Address - Fax:303-761-1450
Practice Address - Street 1:3738 WEST PRINCETON CIRCLE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80236
Practice Address - Country:US
Practice Address - Phone:303-761-2885
Practice Address - Fax:303-761-1450
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5455101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor