Provider Demographics
NPI:1932231446
Name:CARAWAY, DAMEN MATTHEW (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:DAMEN
Middle Name:MATTHEW
Last Name:CARAWAY
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 CENTENNIAL DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1302
Mailing Address - Country:US
Mailing Address - Phone:303-665-7333
Mailing Address - Fax:
Practice Address - Street 1:1760 CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1302
Practice Address - Country:US
Practice Address - Phone:303-665-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO92611223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics