PRAIRIE CENTER DENTAL CARE, LLC (NPI# 1518133040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518133040 |
| Entity Type | Organization |
| Organization Name | PRAIRIE CENTER DENTAL CARE, LLC |
| Other Organization Name | PRAIRIE CENTER DENTAL CARE |
| Practice Address |
2223 Prairie Center Parkway Suite C Brighton CO 80601 |
| Mailing Address |
7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 |
| Practice Telephone | 3036543430 |
| Practice Fax Number | 2165841362 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | RACHEL NITTINGER (MANAGER CREDENTIALING) |
| Authorized Official Telephone | 9727550816 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTALONE PARTNERS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Prairie Center Dental Care | Doing Business As Name - Organization |
| Street Address |
2223 PRAIRIE CENTER PARKWAY SUITE C |
| City | BRIGHTON |
| State | CO |
| Zip Code | 80601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541228 | Dentists of Brighton, LLP | Dentist | 5127 E Bridge Street, Brighton, CO 80601 | 2018-03-16 |
| 1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1427418953 | Alexis Martinez | Dental Hygienist | 1860 Egbert Street, Brighton, CO 80601 | 2016-02-25 |
| 1427413160 | Haile Ogbalidet | Pharmacist | 1605 E. Bridge St, Brighton, CO 80601 | 2015-12-23 |
| 1841686128 | Jamie Nichole Campbell | Pediatrics | 1606 Prairie Center Parkway Premier Pediatrics, Suite 300, Brighton, CO 80601 | 2015-04-13 |
| 1568881795 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 100 N 50th Ave, Brighton, CO 80601 | 2014-04-15 |
| 1841616554 | Rebecca Sholeh Philman | Registered Nurse | 423 Mt Elbert St, Brighton, CO 80601 | 2014-03-06 |
| 1770928756 | Capital Success, LLC | Clinic/Center | 203 Telluride St Unit 750, Brighton, CO 80601 | 2013-05-06 |
| 1992045884 | Kristin Michelle Uchida | Massage Therapist | 27 S 4th Ave, Brighton, CO 80601 | 2013-03-01 |
| Find all providers in zip 80601 | ||||
| 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 |
|---|---|---|---|---|
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1669983334 | Sofyan Sayfo | Dentist | 2223 Prairie Center Pkwy Unit C, Brighton, CO 80601-7008 | 2017-10-20 |
| 1255792750 | Ian Matzkowitz | Dentist | 191 Telluride St Unit 3, Brighton, CO 80601-4356 | 2016-03-10 |
| 1922447606 | Hoon Kim | Dentist | 7743 Grand River Rd Ste 202, Brighton, MI 48114-3399 | 2013-06-17 |
| 1316223662 | Brighton Modern Dentistry and Orthodontics, LLP | Dentist | 3494 Eagle Boulevard, Brighton, CO 80601 | 2011-11-01 |
| 1841509478 | Quyen Le Tran | Dentist | 278 Market St, Brighton, MA 02135-2105 | 2010-09-30 |
| 1144478991 | Marjorie Diane Mueller-harwood | Dentist | 11647 Burgoyne Dr, Brighton, MI 48114-9009 | 2008-09-05 |
| 1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
| 1902085558 | Ronald William Earnest | Dentist | 8086 Grand River Rd, Brighton, MI 48114-9341 | 2007-10-31 |
| 1730379421 | Julie Nicole Monroy | Dentist | 6732 W Ridge Dr, Brighton, MI 48116-8858 | 2007-07-28 |
| Find all providers in BRIGHTON | ||||
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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.