Provider Demographics
NPI:1639376890
Name:WARNER, HOMER RAMSEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOMER
Middle Name:RAMSEY
Last Name:WARNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RAMSEY
Other - Middle Name:
Other - Last Name:WARNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:7201 MONACO ST
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-1720
Mailing Address - Country:US
Mailing Address - Phone:303-287-2755
Mailing Address - Fax:303-287-3066
Practice Address - Street 1:7201 MONACO ST
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-1720
Practice Address - Country:US
Practice Address - Phone:303-287-2755
Practice Address - Fax:303-287-3066
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice