Provider Demographics
NPI:1154707230
Name:SALES, TRACY (DDS)
Entity type:Individual
Prefix:DR
First Name:TRACY
Middle Name:
Last Name:SALES
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 1:3300 E 1ST AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5810
Mailing Address - Country:US
Mailing Address - Phone:303-399-0400
Mailing Address - Fax:
Practice Address - Street 1:10184 W BELLEVIEW AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1700
Practice Address - Country:US
Practice Address - Phone:303-932-1077
Practice Address - Fax:303-932-0037
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2016-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002026261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice