SOUTHGLENN ENDODONTICS (NPI# 1013245422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013245422 |
| Entity Type | Organization |
| Organization Name | SOUTHGLENN ENDODONTICS |
| Practice Address |
6650 S Vine St Ste 200 Centennial CO 80121-2735 |
| Mailing Address |
6650 S Vine St Ste 200 Centennial CO 80121-2735 |
| Practice Telephone | 3037973636 |
| Practice Fax Number | 3039932048 |
| Mailing Telephone | 3037973636 |
| Mailing Fax Number | 3039932048 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |
| Authorized Official Name | SONIA GALLEGO (PRESIDENT) |
| Authorized Official Telephone | 3037973636 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
9238 | CO | Dental Providers |
| Street Address |
6650 S VINE ST STE 200 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80121-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952387359 | Joy L Barney | Audiologist | 6650 S Vine St, L-10, Centennial, CO 80121 | 2005-12-16 |
| 1417499138 | Sarah Jane Meyer Dds PC | Dentist | 6650 S Vine St, Suite 240, Centennial, CO 80121-2735 | 2016-11-11 |
| 1962861104 | Grin & Barrett Orthodontics | Dentist | 6650 S Vine St, L-80, Centennial, CO 80121-2735 | 2016-02-16 |
| 1073902441 | Michael J. Franquemont, Dds,plc | Dentist | 6650 S Vine St, Suite 260, Centennial, CO 80121-2735 | 2015-01-22 |
| 1073742938 | Jerry R. Pederson, O.d., P.C. | Optometrist | 6650 S Vine St, Suite 160, Centennial, CO 80121-2769 | 2009-07-13 |
| 1114167947 | Southglenn Eyecare, PC | Optometrist | 6650 S Vine St, 160, Centennial, CO 80121-2735 | 2009-03-06 |
| 1679796049 | Michael James Franquemont | Dentist | 6650 S Vine St, Suite 260, Centennial, CO 80121-2769 | 2007-04-11 |
| 1811031859 | Jerry R. Pederson, O.d. | Optometrist | 6650 S Vine St, Suite 160, Centennial, CO 80121-2735 | 2007-02-15 |
| 1427024876 | Luis J Bravo | Dentist | 6650 S Vine St, Suite 120, Centennial, CO 80121-2770 | 2006-02-26 |
| 1346236999 | Jerry Ray Pederson | Optometrist | 6650 S Vine St, Suite 160, Centennial, CO 80121-2769 | 2005-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457810889 | Pushpa Sunder Mehta | Obstetrics & Gynecology | 5555 E. Pine Court., Greenwood Village, CO 80121 | 2019-03-15 |
| 1346722378 | Michael Bernard Young | Respiratory Therapist, Registered | 2204 E Panama Drive, Centennial, CO 80121 | 2018-09-06 |
| 1235592676 | Stephen Cheung | Student in an Organized Health Care Education/Training Program | 191 E Orchard Rd Ste 200, Littleton, CO 80121 | 2016-04-02 |
| 1962722629 | James Paul Bieneman | Dentist | 6650 S. Vine Street, Suite 220, Centennial, CO 80121 | 2010-06-04 |
| 1033349774 | Matthew Renner Wimmer | Dentist | 6690 S. Broadway, Centennial, CO 80121 | 2009-07-15 |
| 1134385131 | Paul Adams Hood | Counselor | 6949 South Highway 73, Suite 211, Evergreen, CO 80121 | 2008-07-30 |
| 1063545044 | Marcia J Murphy | Psychologist | 681 E Orchard Road, Centennial, CO 80121 | 2007-03-13 |
| 1417032111 | Edward J. Barrett | Dentist | 6650 S. Vine St, L-80, Centennial, CO 80121 | 2006-10-25 |
| 1255412334 | Donald A Metzger | Optometrist | 6610 S Broadway, Centennial, CO 80121 | 2006-10-17 |
| 1609893171 | Michele Marie Friedl | Dentist | 5959 S University, Greenwood Village, CO 80121 | 2006-07-17 |
| Find all providers in zip 80121 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255501904 | Endodontic Associates | Dentist | 8120 S Holly St., Ste 214, Centennial, CO 80122 | 2008-03-10 |
| 1104931674 | Scott I Whitney | Dentist | 7374 S Alton Way, Suite 103, Centennial, CO 80112-2368 | 2006-08-21 |
| 1730636804 | Syrpes and Pangborn Dds | Dentist | 6855 S Havana St, Suite 540, Centennial, CO 80112-3837 | 2016-09-07 |
| 1336200690 | Anita Hoelscher | Dentist | 8120 S Holly St, Suite 214, Centennial, CO 80122-4005 | 2006-12-12 |
| 1104914365 | Demetrios Syrpes | Dentist | 6855 S Havana St, Suite 540, Centennial, CO 80112-3837 | 2006-10-11 |
| 1225144900 | Tim Hubble | Dentist | 8120 S Holly St, Ste 214, Centennial, CO 80122-4005 | 2006-08-22 |
| 1467567198 | Brock Deal | Dentist | 8120 S Holly St, Ste 214, Centennial, CO 80122-4005 | 2006-08-21 |
| 1699880328 | Perri Carnes | Dentist | 8120 S Holly St, Ste 214, Centennial, CO 80122-4005 | 2006-08-21 |
| 1154436871 | James Burquest | Dentist | 8120 S Holly St, Ste 214, Centennial, CO 80122-4005 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329047 | Front Range Endodontics, Pllc | Dentist | 2116 Hollow Brook Dr Ste 200, Colorado Springs, CO 80918-1790 | 2020-09-06 |
| 1205448107 | Avos Dental Specialists, Pllc | Dentist | 14769 W 87th Pkwy, Arvada, CO 80005-1454 | 2020-08-20 |
| 1003433251 | Ridgegate Endodontics, Pllc | Dentist | 10107 Ridgegate Pkwy # G020, Lone Tree, CO 80124-5637 | 2020-07-02 |
| 1518511146 | Colorado Dental Specialist Practice, LLC | Dentist | 18121 E Hampden Ave Unit E, Aurora, CO 80013-3591 | 2019-07-31 |
| 1447803382 | Jj Elevation, Pllc | Dentist | 10012 Coyote Song Ter, Colorado Springs, CO 80924-4504 | 2019-07-19 |
| 1992363444 | Ccdi Parker Pdc Pllc | Dentist | 10841 Crossroads Dr Ste 9, Parker, CO 80134-9090 | 2019-05-30 |
| 1134786403 | Safer,carr and Sachs, Dds,pc | Dentist | 155 Cook St Ste 301, Denver, CO 80206-5317 | 2019-05-22 |
| 1013573815 | Ccdi Denver Pdc Pllc | Dentist | 1573 S Broadway, Denver, CO 80210-2607 | 2019-05-16 |
| 1992279384 | Jared Smith, Professional LLC | Dentist | 17 County Road 68, Bailey, CO 80421 | 2019-01-18 |
| 1972000933 | Rocky Mountain Root Canal Specialist, Pllc | Dentist | 13762 Colorado Blvd Unit 154, Thornton, CO 80602-6919 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
| City | CENTENNIAL |
| Zip Code | 80121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.