Provider Demographics
NPI:1811070998
Name:SWEENEY, PATRICK CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:CHARLES
Last Name:SWEENEY
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 1:4350 WADSWORTH BLVD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:WHEATRIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033
Mailing Address - Country:US
Mailing Address - Phone:303-424-9470
Mailing Address - Fax:303-424-6596
Practice Address - Street 1:4350 WADSWORTH BLVD
Practice Address - Street 2:SUITE 410
Practice Address - City:WHEATRIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-424-9470
Practice Address - Fax:303-424-6596
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO105408122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist