Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PARKER THEODORE KASTELIC I, DMD
Active Sole ProprietorPARKER THEODORE KASTELIC I, DMD is a Dentist healthcare provider located in TRINIDAD, Colorado. NPI 1104494632 is currently active in the NPPES registry. Verify at CMS.
Dentist · TRINIDAD, CO
Registration Details
- NPI Number
- 1104494632
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2021 (5.2171631450268 yrs)
- Last Updated
- Jun 11, 2021
- License
-
00204748 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2124 FREEDOM RDTRINIDAD, CO, 810821210Browse CO providers · Browse ZIP 81082
- Phone
- 7194225696
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in TRINIDAD, CO
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL HOWARD BERRY | DDS | 1033193834 |
| DR. STEVEN DAVID BLOHM | DDS | 1275704694 |
| DR. BRIAN NAZERI | DDS | 1154550978 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.