FUN AT THE DENTIST PROFESSIONAL LLC (NPI# 1467718155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467718155 |
| Entity Type | Organization |
| Organization Name | FUN AT THE DENTIST PROFESSIONAL LLC |
| Practice Address |
2525 N 8th St Suite 105 Grand Junction CO 81501-8845 |
| Practice Telephone | 9702551111 |
| Practice Fax Number | 9702415555 |
| Mailing Telephone | 9702551111 |
| Mailing Fax Number | 9702415555 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |
| Authorized Official Name | GLEN R DEAN (PRESIDENT) |
| Authorized Official Telephone | 9702551111 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
104423 | CO | Dental Providers |
| Street Address |
2525 N 8TH ST SUITE 105 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81501-8845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821098567 | Bruce Milton Young | Dentist | 2525 N 8th St, Suite 101, Grand Junction, CO 81501-8845 | 2005-07-22 |
| 1053884411 | Mh Health Care Services, PC | Nurse Practitioner | 2525 N 8th St, Grand Junction, CO 81501-8845 | 2019-01-09 |
| 1912344342 | Karen Elizabeth Ady | Advanced Practice Midwife | 2525 N 8th St, Ste 202, Grand Junction, CO 81501-8847 | 2013-05-24 |
| 1356601264 | Jessica Lynn Gardner | Dental Hygienist | 2525 N 8th St, Grand Junction, CO 81501-8845 | 2012-05-24 |
| 1073843389 | William Doyle Merkel | Plastic Surgery | 2525 N 8th St, Suite 203, Grand Junction, CO 81501-8845 | 2010-01-08 |
| 1376873034 | Joan Lee Hettinger | Nurse Practitioner | 2525 N 8th St, Suite 203, Grand Junction, CO 81501-8845 | 2009-12-31 |
| 1790946200 | Lori Marie Wittman | Obstetrics & Gynecology | 2525 N 8th St, Ste 202, Grand Junction, CO 81501-8847 | 2008-06-18 |
| 1467596395 | Brad Edwards Nelson | Dentist | 2525 N 8th St, Suite 101, Grand Junction, CO 81501-8845 | 2007-02-16 |
| 1013056159 | Mark Douglas Madison | Dentist | 2525 N 8th St, Suitte #109, Grand Junction, CO 81501-8845 | 2007-02-05 |
| 1265453013 | David Orlan Jacobson | Dentist | 2525 N 8th St, Ste 107, Grand Junction, CO 81501 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1497318059 | Shellen H Pinnt | Counselor | 660 White Avene, Grand Junction, CO 81501 | 2019-04-19 |
| 1477011658 | Gaylene Ludwig | Counselor | 622 Rood Ave, Grand Junction, CO 81501 | 2019-03-07 |
| 1639676158 | Chris De Bruin | Counselor | Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 | 2018-04-11 |
| 1568971125 | Michael Sprague | Counselor | 1001 Wellington Avenue, Grand Junction, CO 81501 | 2017-09-27 |
| 1609393560 | Karin Vandervelde | Midwife | 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 | 2017-08-23 |
| 1225550361 | Critical Nurse Staffing, LLC | Home Health | 1114 N 1st St, Suite 200, Grand Junction, CO 81501 | 2017-07-11 |
| 1003344094 | Mac Aarron Fish | Counselor | 622 Rood Ave Ste C, Grand Junction, CO 81501 | 2017-06-02 |
| 1467994566 | A New Life Counseling, Inc | Counselor | 623 North 8th St, Grand Junction, CO 81501 | 2016-11-07 |
| 1801342597 | Paragon Restoration & Building, Inc. | Contractor | 205 S. 15th St., Grand Junction, CO 81501 | 2016-09-01 |
| Find all providers in zip 81501 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407116825 | Pediatric Dental Specialists of Western Colorado | Dentist | 2040 Paint Pony Ln, Grand Junction, CO 81507-8756 | 2012-05-18 |
| 1275696114 | Glen Royden Dean | Dentist | 2552 F Rd, Grand Junction, CO 81505-1422 | 2006-12-19 |
| 1962502120 | Glen R Dean Dds PC | Dentist | 2525 North 8th Street, Suite 105, Grand Junction, CO 81501-8258 | 2006-09-25 |
| 1720078058 | John William Bull | Dentist | 2901 N 12th St, Grand Junction, CO 81506-2811 | 2005-10-27 |
| 1518340694 | Ruby Canyon Dental Group, PC | Dentist | 2552 Patterson Rd, Grand Junction, CO 81505-1423 | 2015-07-07 |
| 1154681575 | Jeremy S Cox | Dentist | 2040 Paint Pony Ln, Grand Junction, CO 81507-8756 | 2012-05-18 |
| 1871756304 | Kathryn Lynn Hart | Dentist | 2333 N 6th St, Grand Junction, CO 81501-2001 | 2008-07-03 |
| 1083614788 | David P Noffsinger | Dentist | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181103 | Stettler Kr Broadmoor Pllc | Dentist | 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 | 2020-07-09 |
| 1043842453 | Highlands Pediatric Dentistry | Dentist | 3141 Irving St Unit 200, Denver, CO 80211-3654 | 2020-02-04 |
| 1174163711 | J Patrick Bowman Dmd Pllc | Dentist | 1280 S Pearl St, Denver, CO 80210-1538 | 2020-01-12 |
| 1487211124 | Rebecca Goldberg, Dds, Pllc | Dentist | 2975 Roslyn St Unit 160, Denver, CO 80238-3326 | 2019-05-28 |
| 1427521509 | Kids Mile High Thornton Pllc | Dentist | 7375 E. 128th Ave, Thornton, CO 80602 | 2019-01-10 |
| 1578060299 | Julia Rose Wiegand | Dentist | 2352 Meadows Blvd Ste 200, Castle Rock, CO 80109-8408 | 2018-04-09 |
| 1215432141 | Dan Duy Hoang | Dentist | 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 | 2018-03-23 |
| 1053851485 | Allison Threlkeld Davis | Dentist | 404 E Mineral Ave Ste A, Littleton, CO 80122-2611 | 2017-03-04 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1942673512 | A. P. Smithwick D.d.s. IIi Professional LLC | Dentist | 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 | 2015-11-04 |
| Find all providers with the same taxonomy | ||||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
Please comment or provide details below to improve the information on FUN AT THE DENTIST PROFESSIONAL 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.