Provider Demographics
NPI:1154803526
Name:DALMIA, NUPUR
Entity type:Individual
Prefix:
First Name:NUPUR
Middle Name:
Last Name:DALMIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4562 E DARTMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6732
Mailing Address - Country:US
Mailing Address - Phone:913-710-5158
Mailing Address - Fax:
Practice Address - Street 1:4562 E DARTMOUTH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6732
Practice Address - Country:US
Practice Address - Phone:720-333-4463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-03
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2025015122300000X
CO002025015124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
No122300000XDental ProvidersDentist