Provider Demographics
NPI:1740290071
Name:STAMM, HEATHER LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LEE
Last Name:STAMM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 FRANKLIN ST
Mailing Address - Street 2:BLD 1 STE 300
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205
Mailing Address - Country:US
Mailing Address - Phone:303-839-5109
Mailing Address - Fax:303-839-5159
Practice Address - Street 1:2005 FRANKLIN ST
Practice Address - Street 2:BLD 1 STE 300
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205
Practice Address - Country:US
Practice Address - Phone:303-839-5109
Practice Address - Fax:303-839-5159
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8511CO122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist