DR. KELLY S LAST (NPI# 1184851867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184851867 |
Entity Type | Individual |
Full Name | DR. KELLY S LAST |
Credential | DDS |
Practice Address |
3092 Evergreen Pkwy #100 Evergreen CO 80439-7849 |
Practice Telephone | 3036746264 |
Mailing Telephone | 3036746264 |
Enumeration Date | 2009-06-19 |
Last Update Date | 2009-11-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 9378 | CO | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689170839 | Kelly A Last | Physical Medicine & Rehabilitation | 209 Cherry St, Milford, CT 06460-3501 | 2018-04-04 |
Street Address |
3092 EVERGREEN PKWY #100 |
City | EVERGREEN |
State | CO |
Zip Code | 80439-7849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740300615 | Ellen E Zanichelli | Dental Hygienist | 3092 Evergreen Pkwy, Suite 202, Evergreen, CO 80439-7849 | 2007-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386134351 | Mary Elizabeth Pruet | Speech-Language Pathologist | 26284 Grand Summit Trl, Evergreen, CO 80439 | 2018-05-15 |
1821511031 | Marie Ann St. Denis | Acupuncturist | 27919 Alabraska Lane, Evergreen, CO 80439 | 2017-07-19 |
1285173203 | Natalie Mannon Ibrahim | Physician Assistant | 30940 Stagecoach Blvd, Ste E290, Elk Ridge Family Physicians, Inc, Evergreen, CO 80439 | 2017-02-23 |
1801330923 | Leah Black | Dietitian, Registered | 2952 Conifer Circle, Evergreen, CO 80439 | 2016-12-08 |
1831640291 | Bear Creek Mental Health LLC | Community/Behavioral Health | 4911 Plettner Ln, Ste 210, Evergreen, CO 80439 | 2016-10-20 |
1164971974 | Animal-assisted Therapy of The Mountain Communities | Counselor | 28000 Meadow Dr Suite 105, Evergreen, CO 80439 | 2016-09-22 |
1093191793 | Jennifer Schreiber | Occupational Therapist | 1659 Stoneham Lane, Evergreen, CO 80439 | 2015-08-04 |
1366879371 | Victoria Carleen Bown | Physical Therapist | 32003 Ellingwood Trail, Evergreen, CO 80439 | 2013-10-04 |
1235563867 | Sharon Bland Morgan | Registered Nurse | 5435 So. Twinspruce Rd., Evergreen, CO 80439 | 2013-08-30 |
1720429129 | Lorna Mary Cochrane | Behavioral Analyst | 7345 Heiter Hill Dr., Evergreen, CO 80439 | 2013-07-13 |
Find all providers in zip 80439 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457732877 | Thomas A. Brown | Dentist | 2902 Evergreen Pkwy, Evergreen, CO 80439-7922 | 2015-06-11 |
1467526038 | Evergreen Dental Center | Dentist | 100 Edwina Street, Evergreen, AL 36401 | 2006-11-17 |
1619978673 | Troy Allen Fox | Dentist | 3720 Evergreen Parkway, Evergreen, CO 80439 | 2005-08-02 |
1376540880 | Donald G. Sharp | Dentist | 31226 Lewis Ridge Rd, Evergreen, CO 80439-7998 | 2005-06-30 |
1679962294 | Paula Young | Dentist | 29723 Troutdale Scenic Dr, Evergreen, CO 80439-7737 | 2015-01-20 |
1043625338 | Hossein Borzou Ouranos | Dentist | 1232 Bergen Pkwy, Evergreen, CO 80439 | 2014-06-25 |
1477819894 | Nathan P Cherof | Dentist | 31226 Lewis Ridge Rd, Evergreen, CO 80439-7998 | 2012-04-10 |
1356621122 | Evergreen Dental Partners LLP | Dentist | 1232 Bergen Pkwy, Evergreen, CO 80439-9573 | 2011-08-24 |
1063748473 | Gretchen Jean Bauer Huber | Dentist | 26926 Fern Gulch Rd, Evergreen, CO 80439-5633 | 2009-10-20 |
1942459490 | Evergreen Family Dentistry PC | Dentist | 3720 Evergreen Parkway, Evergreen, CO 80439 | 2008-09-09 |
Find all providers in EVERGREEN |
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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.