Provider Demographics
NPI:1891313102
Name:LEEPER, SEAN DOUGLAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:DOUGLAS
Last Name:LEEPER
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 1:8000 E BELLEVIEW AVE STE E15
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2659
Mailing Address - Country:US
Mailing Address - Phone:303-770-8870
Mailing Address - Fax:
Practice Address - Street 1:8000 E BELLEVIEW AVE STE E15
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2659
Practice Address - Country:US
Practice Address - Phone:303-770-8870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00204450122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty