Provider Demographics
NPI:1730636804
Name:SYRPES AND PANGBORN DDS
Entity Type:Organization
Organization Name:SYRPES AND PANGBORN DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEMETRIOS
Authorized Official - Middle Name:CHRIS
Authorized Official - Last Name:SYRPES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-893-3636
Mailing Address - Street 1:6855 S HAVANA ST
Mailing Address - Street 2:SUITE 540
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3837
Mailing Address - Country:US
Mailing Address - Phone:303-893-3636
Mailing Address - Fax:303-893-3637
Practice Address - Street 1:6855 S HAVANA ST
Practice Address - Street 2:SUITE 540
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3837
Practice Address - Country:US
Practice Address - Phone:303-893-3636
Practice Address - Fax:303-893-3637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty