Provider Demographics
NPI:1427886563
Name:LUXE DENTAL SPA, PLLC
Entity type:Organization
Organization Name:LUXE DENTAL SPA, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:DUSTIN
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-624-8585
Mailing Address - Street 1:24252 E 40TH AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80019-3812
Mailing Address - Country:US
Mailing Address - Phone:804-624-8585
Mailing Address - Fax:
Practice Address - Street 1:24252 E 40TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80019-3812
Practice Address - Country:US
Practice Address - Phone:804-624-8585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental