Provider Demographics
NPI:1396915740
Name:ALLEMAN, DANIEL NATHAN (DDS)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:NATHAN
Last Name:ALLEMAN
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 1:2600 30TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1200
Mailing Address - Country:US
Mailing Address - Phone:303-499-7133
Mailing Address - Fax:
Practice Address - Street 1:2600 30TH ST STE 201
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1200
Practice Address - Country:US
Practice Address - Phone:303-499-7133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-01
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice