Provider Demographics
NPI:1679893713
Name:LOEPPKE, BRITA (DDS)
Entity type:Individual
Prefix:DR
First Name:BRITA
Middle Name:
Last Name:LOEPPKE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18695 STAGE RUN RD
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4911
Mailing Address - Country:US
Mailing Address - Phone:303-841-8600
Mailing Address - Fax:
Practice Address - Street 1:18695 STAGE RUN RD
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4911
Practice Address - Country:US
Practice Address - Phone:303-841-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6654-15122300000X
NMDD42331223G0001X
CODEN.002031411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist