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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANDREW WILSON DETHLOFF, DDS. MA

Active Sole Proprietor

DR. ANDREW WILSON DETHLOFF, DDS. MA is a General Dentistry healthcare provider located in MONUMENT, Colorado. NPI 1548893928 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · MONUMENT, CO

Registration Details

NPI Number
1548893928
Provider Type
Individual
Gender
Male
NPI Issued
Feb 13, 2020 (6.5132690998987 yrs)
Last Updated
Jan 26, 2021
License
00204282 (CO)
Sole Proprietor
Yes

Practice Information

Address
1777 LAKE WOODMOOR DR
MONUMENT, CO, 801329074
Browse CO providers · Browse ZIP 80132
Phone
7194883014
Fax
7194883015
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in MONUMENT, CO

Name Credential NPI
DR. A J GERATHY JR. DMD 1568424281
DR. ARLIE EUGENE BURNHAM JR. D.D.S. 1114939550
DR. DAVID J. JONES DDS 1477663508
CHRISTOPHER JOSEPH HASSELBACK DDS 1003999392
DR. TOMMY RAYMOUND SCHWAB DMD 1962586982
KELLY SABRINA LAMOREAUX DMD 1942485131
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.