Provider Demographics
NPI:1710963343
Name:STUBBS, ANDREW RICHARD (DMD)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:RICHARD
Last Name:STUBBS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10450 PARK MEADOWS DR.
Mailing Address - Street 2:STE 306
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124
Mailing Address - Country:US
Mailing Address - Phone:303-524-9343
Mailing Address - Fax:303-568-9636
Practice Address - Street 1:10450 PARK MEADOWS DR.
Practice Address - Street 2:STE 306
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124
Practice Address - Country:US
Practice Address - Phone:303-524-9343
Practice Address - Fax:303-568-9636
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS7-100C1223E0200X
MIL7554711223G0001X
CODEN.000102521223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice