Provider Demographics
NPI:1548692544
Name:DAVID H. FLEISCHMANN, DDS PC
Entity type:Organization
Organization Name:DAVID H. FLEISCHMANN, DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:FLEISCHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-465-2341
Mailing Address - Street 1:1080 US HIGHWAY 287
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-7004
Mailing Address - Country:US
Mailing Address - Phone:303-465-2341
Mailing Address - Fax:303-469-9595
Practice Address - Street 1:1080 US HIGHWAY 287
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-7004
Practice Address - Country:US
Practice Address - Phone:303-465-2341
Practice Address - Fax:303-469-9595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8458122300000X
CO7438122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty