Provider Demographics
NPI:1841224375
Name:MANOS, ERIK CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:MR
First Name:ERIK
Middle Name:CHRISTOPHER
Last Name:MANOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1860 LARIMER ST
Mailing Address - Street 2:SUITE # 225
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1438
Mailing Address - Country:US
Mailing Address - Phone:303-592-7472
Mailing Address - Fax:303-572-7478
Practice Address - Street 1:1860 LARIMER ST
Practice Address - Street 2:SUITE # 225
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1438
Practice Address - Country:US
Practice Address - Phone:303-592-7472
Practice Address - Fax:303-572-7478
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO68861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice