Provider Demographics
NPI:1205946936
Name:STRANGE, DAVID MALCOLM JR (DDS, MS)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MALCOLM
Last Name:STRANGE
Suffix:JR
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7975 ALLISON WAY
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4428
Mailing Address - Country:US
Mailing Address - Phone:303-421-5437
Mailing Address - Fax:303-422-5300
Practice Address - Street 1:7975 ALLISON WAY
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-4428
Practice Address - Country:US
Practice Address - Phone:303-421-5437
Practice Address - Fax:303-422-5300
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN78431223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO02078434Medicaid