Provider Demographics
NPI:1972288173
Name:CASE, KATRI (DDS)
Entity Type:Individual
Prefix:
First Name:KATRI
Middle Name:
Last Name:CASE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 BASSETT ST APT 1-206
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1011
Mailing Address - Country:US
Mailing Address - Phone:719-332-2985
Mailing Address - Fax:
Practice Address - Street 1:1100 S COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-3003
Practice Address - Country:US
Practice Address - Phone:303-758-0575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00205609122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist