MY LOCAL COLORADO DENTAL PRACTICE, LLC (NPI# 1417501180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417501180 |
| Entity Type | Organization |
| Organization Name | MY LOCAL COLORADO DENTAL PRACTICE, LLC |
| Practice Address |
8410 Wadsworth Blvd Unit G Arvada CO 80003-0918 |
| Practice Telephone | 7206054302 |
| Mailing Telephone | 7206054302 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | MICHELLE JOHNSON (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5093158338 |
| Is Organization Subpart | Y |
| Parent Organization Name | MY LOCAL COLORADO DENTAL PRACTICE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Sage Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952941650 | My Local Colorado Dental Practice, LLC | Dentist | 12031 Tejon St Ste 100, Westminster, CO 80234-2306 | 2020-01-10 |
| 1891335964 | My Local Colorado Dental Practice, LLC | Dentist | 1727 N Gilpin St, Denver, CO 80218-1205 | 2020-01-07 |
| 1245870336 | My Local Colorado Dental Practice, LLC | Dentist | 264 Union Blvd Ste 200, Lakewood, CO 80228-1970 | 2020-01-07 |
| 1396399069 | My Local Colorado Dental Practice, LLC | Dentist | 1691 Coalton Rd, Superior, CO 80027-4681 | 2019-07-30 |
| 1679127492 | My Local Colorado Dental Practice, LLC | Dentist | 200 Quebec St Unit 105, Denver, CO 80230-7144 | 2019-07-30 |
| 1265086920 | My Local Colorado Dental Practice, LLC | Dentist | 7505 E 35th Ave Unit 304, Denver, CO 80238-2460 | 2019-07-30 |
| 1376197046 | My Local Colorado Dental Practice, LLC | Dentist | 3541 E Harmony Rd Ste 130, Fort Collins, CO 80528-8816 | 2019-07-30 |
| 1043864705 | My Local Colorado Dental Practice, LLC | Dentist | 5021 S Jellison Way Unit C, Littleton, CO 80123-7377 | 2019-07-30 |
| 1528612298 | My Local Colorado Dental Practice, LLC | Dentist | 7685 Mclaughlin Rd Ste 100, Falcon, CO 80831-4751 | 2019-07-30 |
| 1316591076 | My Local Colorado Dental Practice, LLC | Dentist | 150 Morning Sun Dr Ste 200w, Woodland Park, CO 80863-9160 | 2019-07-30 |
| Street Address |
8410 WADSWORTH BLVD UNIT G |
| City | ARVADA |
| State | CO |
| Zip Code | 80003-0918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625581 | Kymber Janelle Stephenson | Dietitian, Registered | 8120 Sheridan Blvd., Building C, Suite C-315, Westminister, CO 80003 | 2020-06-30 |
| 1023631330 | William Gaub | Counselor | 7585 W. 66th Ave, Bldg C, Arvada, CO 80003 | 2020-05-20 |
| 1396214607 | Ana M. Sandoval | Licensed Practical Nurse | 6303 Wadsworth Bypass, Suite 100, Arvada, CO 80003 | 2018-11-15 |
| 1740799386 | Spirit of Knightingale Home Care LLC | In Home Supportive Care | 6120 West 70th Avenue, Arvada, CO 80003 | 2017-09-27 |
| 1063931640 | Above and Beyond Enterprises | Respite Care | 6432 West 78th Ave., Arvada, CO 80003 | 2017-09-14 |
| 1194246058 | Ascent Medical LLC | Psychiatry & Neurology | 5375 W 73rd Place, Westminster, CO 80003 | 2017-06-30 |
| 1952853772 | Metro Community Provider Network, Inc. | Clinic/Center | 6303 Wadsworth Bypas, Arvada, CO 80003 | 2016-10-27 |
| 1003296765 | Carrie Mirfield | Massage Therapist | 8725 Wadsworth Blvd., Ste A, Arvada, CO 80003 | 2015-06-08 |
| 1831595073 | Steven Maya | Counselor | 6455 Sheridan Blvd., #236, Arvada, CO 80003 | 2014-11-17 |
| 1912300476 | Christine Renee Bowles | Counselor | 8120 Sheridan Blvd, Building C, Suite 310, Building C, Suite 310, Westminster, CO 80003 | 2014-09-29 |
| Find all providers in zip 80003 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487053 | Colorado Dental Professionals, LLC | Dentist | 14823 W 91st Pl, Arvada, CO 80005-1454 | 2019-10-03 |
| 1356991863 | Arvada Dentistry and Orthodontics Pllc | Dentist | 5656 Ward Way Ste C, Arvada, CO 80002-1346 | 2019-09-17 |
| 1720570088 | David Chen | Dentist | 12191 W 64th Ave Ste 202, Arvada, CO 80004-4030 | 2018-06-02 |
| 1205383965 | Adam James Schwab | Dentist | 5400 Ward Rd Bldg 2-100, Arvada, CO 80002-1821 | 2016-09-09 |
| 1760838825 | Evelyn Qi | Dentist | 12650 W 64th Ave Unit J, Arvada, CO 80004-3887 | 2016-05-09 |
| 1801263900 | Michael W Woods Dds PC | Dentist | 5730 Ward Rd Ste 203, Arvada, CO 80002-1300 | 2015-08-25 |
| 1669849857 | Arvada Smiles Dentistry, LLP | Dentist | 7470 W 52nd Ave, Arvada, CO 80002-3710 | 2015-08-24 |
| 1568843076 | Modern Dental Professionals Co PC | Dentist | 7985 Wadsworth Blvd Ste B, Arvada, CO 80003-2111 | 2015-06-11 |
| 1902174725 | Modern Dental Professionals Co, PC | Dentist | 7985 B Wadsworth Blvd, Arvada, CO 80003 | 2011-12-07 |
| 1760761720 | Christopher J Gillette | Dentist | 5610 Ward Rd Ste 120, Arvada, CO 80002-1309 | 2011-08-09 |
| Find all providers in ARVADA | ||||
Please comment or provide details below to improve the information on MY LOCAL COLORADO DENTAL PRACTICE, LLC.
| 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.