Provider Demographics
NPI:1730393273
Name:SCHLAGEL, GREGORY DEAN (DDS)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:DEAN
Last Name:SCHLAGEL
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 1:710 EPPINGER BLVD
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-3501
Mailing Address - Country:US
Mailing Address - Phone:303-289-3358
Mailing Address - Fax:303-765-0167
Practice Address - Street 1:710 EPPINGER BLVD
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-3501
Practice Address - Country:US
Practice Address - Phone:303-289-3358
Practice Address - Fax:303-765-0167
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHD104342122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist