Provider Demographics
NPI:1356353197
Name:PASCOE, GARY P (DMD PC)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:P
Last Name:PASCOE
Suffix:
Gender:M
Credentials:DMD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2696 S COLORADO BLVD
Mailing Address - Street 2:STE 410
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5945
Mailing Address - Country:US
Mailing Address - Phone:303-789-2354
Mailing Address - Fax:303-761-1482
Practice Address - Street 1:2696 S COLORADO BLVD
Practice Address - Street 2:STE 410
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5945
Practice Address - Country:US
Practice Address - Phone:303-789-2354
Practice Address - Fax:303-761-1482
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO82501223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics