Provider Demographics
NPI:1992448039
Name:ISAACSON, DARBY MICHELLE (DMD)
Entity type:Individual
Prefix:
First Name:DARBY
Middle Name:MICHELLE
Last Name:ISAACSON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 STATION ST STE 175
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-6821
Mailing Address - Country:US
Mailing Address - Phone:303-779-2797
Mailing Address - Fax:
Practice Address - Street 1:9400 STATION ST STE 175
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-6821
Practice Address - Country:US
Practice Address - Phone:303-779-2797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-17
Last Update Date:2022-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program