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ADVANCED DERMATOLOGY SKIN CANCER & LASER SURGERY CENTER P.C. NPI 1841892767


NPI Information

NPI: 1841892767
Provider Name: ADVANCED DERMATOLOGY SKIN CANCER & LASER SURGERY CENTER P.C.
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 06D1002144

Address:
710 SUMMIT BLVD
SUITE 102
FRISCO, CO
ZIP 80443
Phone: (970) 668-9650
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ADVANCED DERMATOLOGY SKIN CANCER & LASER SURGERY CENTER P.C. is a dermatology in Frisco, CO. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. ADVANCED DERMATOLOGY SKIN CANCER & LASER SURGERY CENTER P.C. NPI is 1841892767. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

710 SUMMIT BLVD
SUITE 102
FRISCO, CO
ZIP 80443-000
Phone: (970) 668-9650
Fax: (970) 668-9654

The provider's authorized official is Gregory G. Papadeas .
The authorized official title is Director Of Osteopathic Medecine and has the following contact phone number (303) 368-8611.

The CLIA number assigned to this NPI record is 06D1002144 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/16/2020 and was last updated on 11/16/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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