Provider Demographics
NPI:1942218870
Name:ROLFSON, MATTHEW RAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:RAY
Last Name:ROLFSON
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 1:250 MAX DR
Mailing Address - Street 2:STE 203
Mailing Address - City:CASTLE PINES
Mailing Address - State:CO
Mailing Address - Zip Code:80108-9517
Mailing Address - Country:US
Mailing Address - Phone:303-660-0782
Mailing Address - Fax:303-660-0824
Practice Address - Street 1:250 MAX DR
Practice Address - Street 2:STE 203
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-9517
Practice Address - Country:US
Practice Address - Phone:303-660-0782
Practice Address - Fax:303-660-0824
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO80061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice