SJ DENTAL PC (NPI# 1285905810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285905810 |
| Entity Type | Organization |
| Organization Name | SJ DENTAL PC |
| Practice Address |
6979 S Holly Cir #225 Centennial CO 80112-1577 |
| Practice Telephone | 3037791305 |
| Practice Fax Number | 3037791869 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Authorized Official Name | DR. MARIA JOHNSON (VICE PRESIDENT) |
| Authorized Official Telephone | 3037791305 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 9614 | CO | Dental Providers |
| Y | 122300000X | Dentist | 9613 | CO | Dental Providers |
| Street Address |
6979 S HOLLY CIR #225 |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-1577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730174491 | Peter Alan Vanicek | Dentist | 6979 S Holly Cir, Suite 225, Centennial, CO 80112-1577 | 2005-09-19 |
| 1518146745 | Physiotherapy Associates, Inc. | Clinic/Center | 6979 S Holly Cir, Ste 105, Centennial, CO 80112-1577 | 2007-10-24 |
| 1356549752 | Angela Gilbert | Massage Therapist | 6979 S Holly Cir, Ste 105, Centennial, CO 80112-1577 | 2007-07-06 |
| 1952526931 | Gordon Frank Calhoun | Dentist | 6979 S Holly Cir, Ste. #260, Centennial, CO 80112-1577 | 2007-04-16 |
| 1184753089 | Tania Pauls | Surgery | 6979 S Holly Cir, Suite 275, Centennial, CO 80112-1577 | 2007-03-05 |
| 1619004868 | Mark Joseph Cassidy | Dentist | 6979 S Holly Cir, #280, Centennial, CO 80112-1577 | 2007-02-27 |
| 1831225499 | Brittany Marie Bevis | Dentist | 6979 S Holly Cir, Suite 230, Centennial, CO 80112-1577 | 2007-02-26 |
| 1336284082 | Stacy Victor Baumer | Specialist | 6979 S Holly Cir, Suite 190, Centennial, CO 80112-1577 | 2007-02-20 |
| 1083768170 | Jason Alan Jumper | Chiropractor | 6979 S Holly Cir, Suite 205, Centennial, CO 80112-1577 | 2007-01-23 |
| 1417036757 | Patrick T Prendergast | Dentist | 6979 S Holly Cir, Suite 185, Centennial, CO 80112-1065 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| 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 |
|---|---|---|---|---|
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1689145609 | Colorado Dental Professionals, LLC | Dentist | 6726 S Revere Pkwy # A140, Centennial, CO 80112-3961 | 2018-12-17 |
| 1376063206 | Rabia Farrkh | Dentist | 16269 E Belleview Pl, Centennial, CO 80015-4159 | 2017-06-21 |
| 1033668140 | Care Dental of Centennial,pllc | Dentist | 7300 E Arapahoe Rd, Suite 500, Centennial, CO 80112-6145 | 2016-09-30 |
| 1821477027 | Advanced Sleep Care Centers Of | Dentist | 6979 S Holly Cir Ste 185, Centennial, CO 80112-1065 | 2015-05-21 |
| 1366829830 | Advanced Dental Health | Dentist | 6979 S Holly Circle #185, Centennial, CO 80112 | 2015-05-04 |
| 1720472731 | Joshua Timothy Peter | Dentist | 6101 S Jericho Way, Centennial, CO 80016-1273 | 2015-03-27 |
| 1013332063 | Behrod Khankhanian | Dentist | 7500 E Arapahoe Rd Ste 202, Centennial, CO 80112-1277 | 2014-02-27 |
| 1376967927 | Jeremyj. Zeigler Dmd, Pllc | Dentist | 6834 S Yosemite St, Centennial, CO 80112-1407 | 2014-02-18 |
| 1669895611 | Anuj Suri | Dentist | 8120 S Holly St Ste 10, Centennial, CO 80122-4005 | 2014-01-28 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
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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.