Provider Demographics
NPI:1457519480
Name:STEVEN R ECHOLS DDS PC
Entity Type:Organization
Organization Name:STEVEN R ECHOLS DDS PC
Other - Org Name:BELLEVIEW DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:ECHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-932-1077
Mailing Address - Street 1:10184 W BELLEVIEW
Mailing Address - Street 2:STE 220
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-1762
Mailing Address - Country:US
Mailing Address - Phone:303-932-1077
Mailing Address - Fax:303-932-0037
Practice Address - Street 1:10184 W BELLEVIEW
Practice Address - Street 2:STE 220
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1762
Practice Address - Country:US
Practice Address - Phone:303-932-1077
Practice Address - Fax:303-932-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO5214122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty