OrganizationActive
Andre D. Nazarov Dmd.,ms.,pc
NPI 1922200542 · Orthodontics and Dentofacial Orthopedics Dentistry · Lakewood, CO
Provider details
- NPI number
- 1922200542
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Authorized official
- Andre Nazarov, Owner
- License
- 8530 (CO)
Practice location
7125 W Jefferson Ave
380
Lakewood, CO 80235-2333
Phone: (303) 989-5607
Mailing address
7125 W Jefferson Ave
Lakewood, CO 80235-2333
Registry dates
- Enumerated
- 2007-06-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.