CRESTED OAK DENTISTRY (NPI# 1538591763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538591763 |
| Entity Type | Organization |
| Organization Name | CRESTED OAK DENTISTRY |
| Practice Address |
2532 Patterson Rd Suite 1 Grand Junction CO 81505-3604 |
| Practice Telephone | 9702414800 |
| Practice Fax Number | 9702418266 |
| Mailing Telephone | 9702414800 |
| Mailing Fax Number | 9702418266 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2015-07-27 |
| Authorized Official Name | DR. STEPHEN M LEWIS (DENTIST/OWNER) |
| Authorized Official Telephone | 9702414800 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10481 | CO | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Crested Oak Dentistry, Professional LLC | 2532 Patterson Rd Suite 1, Grand Junction, CO 81505 |
| Street Address |
2532 PATTERSON RD SUITE 1 |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81505-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073622163 | Philip J Latteier | Dentist | 2532 Patterson Rd, Suite 1, Grand Junction, CO 81505-3604 | 2006-08-30 |
| 1033531405 | Brandy L Lujan | Hearing Instrument Specialist | 2532 Patterson Rd, 12, Grand Junction, CO 81505-3604 | 2014-01-20 |
| 1386930758 | Stephen M Lewis | Dentist | 2532 Patterson Rd, Suite 1, Grand Junction, CO 81505-1099 | 2011-06-23 |
| 1538394432 | Kevin M. Lewis | Dentist | 2532 Patterson Rd, Suite 1, Grand Junction, CO 81505-1099 | 2009-05-20 |
| 1689817827 | Bernadette Mills | Audiologist | 2532 Patterson Rd, Suite 12, Grand Junction, CO 81505-1099 | 2009-04-17 |
| 1992958490 | Kelly Lee Cox | Chiropractor | 2532 Patterson Rd, Suite 15, Grand Junction, CO 81505-1099 | 2008-10-28 |
| 1205034949 | Joseph Robert Funderburk | Dentist | 2532 Patterson Rd, Grand Junction, CO 81505-3604 | 2007-07-03 |
| 1992928311 | Colorado West Hearing Services-aaa Hearing Service | Hearing Instrument Specialist | 2532 Patterson Rd, Suite #12, Grand Junction, CO 81505-1099 | 2007-04-11 |
| 1114008224 | Grand Junction Oral Surgery Associates, P.C. | Dentist | 2532 Patterson Rd, Suite 10, Grand Junction, CO 81505-1098 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954061 | The Center At Foresight, LLC | Skilled Nursing Facility | 2594 Patterson Road, Grand Junction, CO 81505 | 2020-05-27 |
| 1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
| 1780107896 | Robert Rogers | Registered Nurse | 2351 G Rd., Community Hospital, Grand Junction, CO 81505 | 2017-07-20 |
| 1952834871 | Carol Joy Graham | Counselor | 585 25 1/2 Rd. Sp 175, Grand Junction, CO 81505 | 2017-04-07 |
| 1356894059 | Amel Med, LLC | Anesthesiology | 2460 Patterson Rd #4, Grand Junction, CO 81505 | 2016-07-28 |
| 1528479649 | Adam Neff | Specialist/Technologist | 2188 I Road, Grand Junction, CO 81505 | 2014-05-12 |
| 1689003766 | Canyon View Asc, LLC | Clinic/Center | 2373 G Road, Suite 180, Grand Junction, CO 81505 | 2013-11-08 |
| 1700220993 | Grand Mesa Spine and Sport LLC | Pain Medicine | 201 West Park Dr, Grand Junction, CO 81505 | 2013-04-18 |
| 1295026409 | Nuclear Care Partners, LLC | Case Management | 631 24 1/2 Road, Suite C, Grand Junction, CO 81505 | 2011-04-21 |
| 1265734883 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 630 24 Rd, Grand Junction, CO 81505 | 2010-12-02 |
| Find all providers in zip 81505 | ||||
| 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 |
|---|---|---|---|---|
| 1467910612 | Insuracaid Dental Gj LLC | Dentist | 2352 N 7th St Ste 4, Grand Junction, CO 81501-8168 | 2019-03-06 |
| 1659800258 | Chelsea Miller Barr | Dentist | 1301 N 7th St Unit B, Grand Junction, CO 81501-3065 | 2017-06-07 |
| 1376091652 | Byron C Corbett, Dds, PC | Dentist | 132 Walnut Ave Ste C, Grand Junction, CO 81501-7483 | 2016-09-15 |
| 1720535719 | Gaglione and Scott Dental Pllc | Dentist | 2642 Patterson Rd, Grand Junction, CO 81506-1941 | 2016-09-07 |
| 1881059194 | Carl A Feghali Dds PC | Dentist | 1120 Wellington Ave., Suite 203, Grand Junction, CO 81501-6131 | 2015-12-31 |
| 1801132931 | Gj West Dental Prof LLC | Dentist | 2502 Highway 6 and 50, Suite 700, Grand Junction, CO 81505-4501 | 2012-12-18 |
| 1285980532 | Yes Dental Inc | Dentist | 500 Patterson Rd Ste 2, Grand Junction, CO 81506-1962 | 2012-07-24 |
| 1306089990 | Derek Langford Dean | Dentist | 2552 Patterson Rd, Grand Junction, CO 81505-1422 | 2009-04-12 |
| 1720226954 | Smiles 4 Kids II | Dentist | 459 North Ave, Grand Junction, CO 81501-7511 | 2009-01-26 |
| 1205001377 | Brett David Clifton | Dentist | 1119 N 1st St, Suite D, Grand Junction, CO 81501-2175 | 2008-04-29 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81505 |
Please comment or provide details below to improve the information on CRESTED OAK DENTISTRY.
| 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.