Provider Demographics
NPI:1962440826
Name:AMES, WILLIAM GARY (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:GARY
Last Name:AMES
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 1:6726 S REVERE PKWY
Mailing Address - Street 2:SUITE A140
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3961
Mailing Address - Country:US
Mailing Address - Phone:303-662-1180
Mailing Address - Fax:
Practice Address - Street 1:6726 S REVERE PKWY
Practice Address - Street 2:SUITE A140
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3961
Practice Address - Country:US
Practice Address - Phone:303-662-1180
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHD1047951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice