Peter Pribula, DMD
Individual provider Active NPI Dentist · Denver, CO
NPI 1972233237 · NPPES record last updated Jun 10, 2022
Key facts
- NPI
- 1972233237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DEN.00205166 (CO)
- Practice address
- 3200 E Cherry Creek South Dr Ste 135
Denver, CO 80209-3246 - Phone
- (303) 355-6294
- NPI assigned
- Jun 10, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00205166 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health Professionals of Colorado | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00205166 | CO | Yes |
Addresses
Primary practice location
3200 E Cherry Creek South Dr Ste 135
Denver, CO 80209-3246
Mailing address
1650 Raleigh St Unit 514
Denver, CO 80204-2181
Phone (561) 479-8639
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2022. 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.