Provider Demographics
NPI:1821256504
Name:NOORI, HAEMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAEMAN
Middle Name:
Last Name:NOORI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2290 KIPLING ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-1578
Mailing Address - Country:US
Mailing Address - Phone:303-232-5637
Mailing Address - Fax:303-232-5638
Practice Address - Street 1:2290 KIPLING ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-1578
Practice Address - Country:US
Practice Address - Phone:303-232-5637
Practice Address - Fax:303-232-5638
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO103301223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery