Provider Demographics
NPI:1689436529
Name:DUGGAR, ANKUSH
Entity Type:Individual
Prefix:
First Name:ANKUSH
Middle Name:
Last Name:DUGGAR
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 1:2181 S TRENTON WAY APT 14-304
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5391
Mailing Address - Country:US
Mailing Address - Phone:516-412-9844
Mailing Address - Fax:
Practice Address - Street 1:4820 E HAMPDEN AVE # 104
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-7300
Practice Address - Country:US
Practice Address - Phone:516-412-9844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00205846122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist