Provider Demographics
NPI:1770606055
Name:ALL ENDODONTICS, P.C.
Entity type:Organization
Organization Name:ALL ENDODONTICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HESHAM
Authorized Official - Middle Name:ABOU
Authorized Official - Last Name:YOUSSEF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,DMSC
Authorized Official - Phone:303-617-6323
Mailing Address - Street 1:13741 E RICE PL
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1061
Mailing Address - Country:US
Mailing Address - Phone:303-617-6323
Mailing Address - Fax:303-617-6351
Practice Address - Street 1:13741 E RICE PL
Practice Address - Street 2:SUITE 200
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1061
Practice Address - Country:US
Practice Address - Phone:303-617-6323
Practice Address - Fax:303-617-6351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO71511223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty