Aleksandr Lutskiy, DMD, Professional LLC
Organization Active NPI General Practice Dentistry · Denver, CO
NPI 1710310271 · NPPES record last updated Aug 19, 2013
Key facts
- NPI
- 1710310271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9755 (CO)
- Legal business name
- ALEKSANDR LUTSKIY, DMD, PROFESSIONAL LLC
- Practice address
- 4101 E Wesley Ave
Suite 4
Denver, CO 80222-6050 - Phone
- (303) 758-3230
- Fax
- (303) 758-3552
- NPI assigned
- Aug 19, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Aleksandr Lutskiy, D.M.D.
- Title
- Owner
- Phone
- (303) 758-3230
Practitioners 2
-
Aleksandr V Lutskiy, DMD
-
William E. Madden, D.D.S.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 9755 | CO | Yes |
Addresses
Primary practice location
4101 E Wesley Ave
Suite 4
Denver, CO 80222-6050
Mailing address
4101 E Wesley Ave
Suite 4
Denver, CO 80222-6050
Phone (303) 758-3230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06675883 | Medicaid | CO |
Other names
- All Smile Dental
Other providers in Denver, CO
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- Lauren Aldridge
- Joe Alecci
- Alef Medical Supplies, LLC
- Alegis Care of Colorado LLC
- Ewa Aleksiejuk-Bierylo
- Cassandra Lee Aleman
- Valerie Aleman
- Viridiana Aleman
- Kidist Alemayehu
All providers in Denver, CO · General Practice Dentistry in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.