Provider Demographics
NPI:1104914365
Name:SYRPES, DEMETRIOS (DDS)
Entity type:Individual
Prefix:DR
First Name:DEMETRIOS
Middle Name:
Last Name:SYRPES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6855 S HAVANA ST
Mailing Address - Street 2:SUITE 540
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3837
Mailing Address - Country:US
Mailing Address - Phone:303-893-3636
Mailing Address - Fax:303-893-3637
Practice Address - Street 1:6855 S HAVANA ST
Practice Address - Street 2:SUITE 540
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3837
Practice Address - Country:US
Practice Address - Phone:303-893-3636
Practice Address - Fax:303-893-3637
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86461223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics