Provider Demographics
NPI:1063681153
Name:ARGUELLO, EMILIO I (DDS, MMSC)
Entity type:Individual
Prefix:DR
First Name:EMILIO
Middle Name:I
Last Name:ARGUELLO
Suffix:
Gender:M
Credentials:DDS, MMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3690 S YOSEMITE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1808
Mailing Address - Country:US
Mailing Address - Phone:303-695-0990
Mailing Address - Fax:
Practice Address - Street 1:3690 S YOSEMITE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1808
Practice Address - Country:US
Practice Address - Phone:303-695-0990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVS4-57C1223P0300X
NMDD46501223P0300X
TX236201223P0300X
MO20200296251223P0300X
VA04014120011223P0300X
CA1048621223P0300X
TN112161223P0300X
KS617811223P0300X
KY108171223P0300X
CO102241223P0300X
OH30.0267001223P0300X
MA18582661223P0300X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics