Provider Demographics
NPI:1891838918
Name:BAROTZ, CHARLES STUART (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:STUART
Last Name:BAROTZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:CHARLES
Other - Middle Name:S
Other - Last Name:BAROTZ
Other - Suffix:III
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:303 16TH ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-5031
Mailing Address - Country:US
Mailing Address - Phone:303-595-4994
Mailing Address - Fax:303-595-0583
Practice Address - Street 1:303 16TH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-5031
Practice Address - Country:US
Practice Address - Phone:303-595-4994
Practice Address - Fax:303-595-0583
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHD1046591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice