Provider Demographics
NPI:1659374486
Name:SLOTA, BERNARD D (DDS)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:D
Last Name:SLOTA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1050 17TH ST
Mailing Address - Street 2:STE B190
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80265-1050
Mailing Address - Country:US
Mailing Address - Phone:303-623-4444
Mailing Address - Fax:303-623-0443
Practice Address - Street 1:8015 W ALAMEDA AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226
Practice Address - Country:US
Practice Address - Phone:303-623-4444
Practice Address - Fax:303-623-0443
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO43921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice