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Alyssa Ellsworth, DDS
General Practice Dentistry in Boulder, Colorado
NPI 1508243775

Alyssa Ellsworth is a General Practice Dentistry based in Denver, CO and is specialized in General Practice. Alyssa Ellsworth practices in Boulder, CO and has the professional credentials of DDS. The NPI Number for Alyssa Ellsworth is 1508243775 and holds a License No. (Colorado).

The current practice location address for Alyssa Ellsworth is 4150 Darley Ave Ste 3, Boulder, CO and can be reached out via phone at 303-499-0013.

Location: 4150 Darley Ave Ste 3, Boulder, CO, 80211-2908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508243775
Provider Name
Alyssa Ellsworth
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
4150 Darley Ave Ste 3, Boulder, CO, 80211-2908
Phone Number
303-499-0013
Fax Number
Provider Enumeration Date
04/27/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4150 Darley Ave Ste 3
City
Boulder
State
Colorado
Zip
80305-6537
Phone Number
303-499-0013
Fax Number
person
Provider Business Mailing Address Details
Address
4150 Darley Ave Ste 3
City
Boulder
State
Colorado
Zip
80305-6537
Phone Number
303-499-0013
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
00202776 (Colorado)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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