Provider Demographics
NPI:1922171370
Name:AVERY, PAUL CHRISTIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:CHRISTIAN
Last Name:AVERY
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 1:7 E BELLEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80121-1246
Mailing Address - Country:US
Mailing Address - Phone:303-910-1476
Mailing Address - Fax:
Practice Address - Street 1:6850 W 52ND AVE STE 100
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3955
Practice Address - Country:US
Practice Address - Phone:720-699-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO79221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice