Provider Demographics
NPI:1992929400
Name:SANDERS & LOE, D.D.S., P.C.
Entity type:Organization
Organization Name:SANDERS & LOE, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARYANN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MONFILETTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-337-2794
Mailing Address - Street 1:3100 S PARKER RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-6217
Mailing Address - Country:US
Mailing Address - Phone:303-337-2794
Mailing Address - Fax:
Practice Address - Street 1:3100 S PARKER RD
Practice Address - Street 2:SUITE 103
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-6217
Practice Address - Country:US
Practice Address - Phone:303-337-2794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO41001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty