Siersma, George Frederick

Siersma, George Frederick is an individual health care provider with primary practice located at 14025 E Exposition Ave , Aurora CO 80012-2522. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Siersma, George Frederick can be contacted via phone (303) 340-0422.

Contact Information

Primary practice address
14025 E Exposition Ave Aurora CO 80012-2522
Phone: (303) 340-0422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 3705 Colorado

Profile Details

NPI number 1669582631
LBN Legal business name Siersma, George Frederick
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 14th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669582631 NPPES
Colorado MEDICAID 02037059

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