Provider Demographics
NPI:1760558258
Name:WEBLEY, SYMONE (DDS)
Entity Type:Individual
Prefix:
First Name:SYMONE
Middle Name:
Last Name:WEBLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12183 W CROSS DR
Mailing Address - Street 2:UNIT #302
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5222
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23963 E PROSPECT AVE
Practice Address - Street 2:STE E
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5342
Practice Address - Country:US
Practice Address - Phone:303-400-9898
Practice Address - Fax:303-400-9899
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17435122300000X
CODEN00201866122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist