Provider Demographics
NPI:1871829713
Name:SAUL ESCALA D.D.S., P.C.
Entity Type:Organization
Organization Name:SAUL ESCALA D.D.S., P.C.
Other - Org Name:ESCALA FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:ANEL
Authorized Official - Last Name:ESCALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-936-6188
Mailing Address - Street 1:590 S FEDERAL BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-2932
Mailing Address - Country:US
Mailing Address - Phone:303-936-6188
Mailing Address - Fax:303-937-8726
Practice Address - Street 1:590 S FEDERAL BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-2938
Practice Address - Country:US
Practice Address - Phone:303-936-6188
Practice Address - Fax:303-937-8726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty