Provider Demographics
NPI:1154609154
Name:SAIN, ERIN (DDS)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SAIN
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:PO BOX 23158
Mailing Address - Street 2:
Mailing Address - City:SILVERTHORNE
Mailing Address - State:CO
Mailing Address - Zip Code:80498-3158
Mailing Address - Country:US
Mailing Address - Phone:970-368-6091
Mailing Address - Fax:
Practice Address - Street 1:265 TANGLEWOOD LANE
Practice Address - Street 2:UNIT W-1
Practice Address - City:SILVERTHORNE
Practice Address - State:CO
Practice Address - Zip Code:80498-3158
Practice Address - Country:US
Practice Address - Phone:970-368-6091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-26
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO105121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice