Provider Demographics
NPI:1487799441
Name:PATRILLA, STANLEY HOLLAND (DDS)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:HOLLAND
Last Name:PATRILLA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 S MARSHALL CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-5860
Mailing Address - Country:US
Mailing Address - Phone:303-933-2873
Mailing Address - Fax:
Practice Address - Street 1:8001 S MARSHALL CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-5860
Practice Address - Country:US
Practice Address - Phone:303-933-2873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO105716122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist