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Dr. Nathan James Carillo, DDS
Student in an Organized Health Care Education/Training Program in Louisville, Colorado
NPI 1841647294

Nathan James Carillo is a Student in an Organized Health Care Education/Training Program based in Louisville, CO. Nathan James Carillo practices in Louisville, CO and has the professional credentials of DDS. The NPI Number for Nathan James Carillo is 1841647294 and holds a License No. DEN.00204375 (Colorado).

The current practice location address for Nathan James Carillo is 357 Mccaslin Blvd Ste 200, Louisville, CO and can be reached out via phone at 970-699-8954.

Location: 357 Mccaslin Blvd Ste 200, Louisville, CO, 80027-2932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841647294
Provider Name
Nathan James Carillo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
357 Mccaslin Blvd Ste 200, Louisville, CO, 80027-2932
Phone Number
970-699-8954
Fax Number
Provider Enumeration Date
05/16/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
357 Mccaslin Blvd Ste 200
City
Louisville
State
Colorado
Zip
80027-2932
Phone Number
970-699-8954
Fax Number
person
Provider Business Mailing Address Details
Address
357 Mccaslin Blvd Ste 200
City
Louisville
State
Colorado
Zip
80027-2932
Phone Number
970-699-8954
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
()
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
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.
DEN.00204375 (Colorado)
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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Student in an Organized Health Care Education/Training Program
357 Mccaslin Blvd Ste 200,
LOUISVILLE, CO
80027-2932
970-699-8954
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