Provider Demographics
NPI:1023162179
Name:SAEKS, ADAM CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:CHARLES
Last Name:SAEKS
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 1:391 INDIAN PEAKS TRL W
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-8896
Mailing Address - Country:US
Mailing Address - Phone:303-652-3500
Mailing Address - Fax:303-652-8246
Practice Address - Street 1:376 2ND AVE
Practice Address - Street 2:
Practice Address - City:NIWOT
Practice Address - State:CO
Practice Address - Zip Code:80544
Practice Address - Country:US
Practice Address - Phone:303-652-3500
Practice Address - Fax:303-652-8246
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO78261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice