Provider Demographics
NPI:1538262647
Name:DAYN, ILYA (DMD)
Entity type:Individual
Prefix:DR
First Name:ILYA
Middle Name:
Last Name:DAYN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3955 E EXPOSITION AVE
Mailing Address - Street 2:STE 212
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-5000
Mailing Address - Country:US
Mailing Address - Phone:303-282-7000
Mailing Address - Fax:303-282-5567
Practice Address - Street 1:3955 E EXPOSITION AVE
Practice Address - Street 2:STE 212
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-5000
Practice Address - Country:US
Practice Address - Phone:303-282-7000
Practice Address - Fax:303-282-5567
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO87991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice