Provider Demographics
NPI:1336200690
Name:HOELSCHER, ANITA (DDS,MS)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:HOELSCHER
Suffix:
Gender:F
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 1:8120 S HOLLY ST
Mailing Address - Street 2:SUITE 214
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-4005
Mailing Address - Country:US
Mailing Address - Phone:303-796-7676
Mailing Address - Fax:303-796-7538
Practice Address - Street 1:8120 S HOLLY ST
Practice Address - Street 2:SUITE 214
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-4005
Practice Address - Country:US
Practice Address - Phone:303-796-7676
Practice Address - Fax:303-796-7538
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO93471223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics