BAPTIST ROAD DENTAL (NPI# 1609357144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609357144 |
| Entity Type | Organization |
| Organization Name | BAPTIST ROAD DENTAL |
| Practice Address |
1036 Baptist Road Monument CO 80132 |
| Practice Telephone | 3036539660 |
| Practice Fax Number | 3036639466 |
| Mailing Telephone | 3036539660 |
| Mailing Fax Number | 3036639466 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | JANELLE GLADSTONE (REGIONAL MANAGER) |
| Authorized Official Telephone | 7208392458 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Baptist Road Dental DbD LLC | 610 Fifth Street, Suite 300, Castle Rock, CO 80104 |
| Street Address |
1036 BAPTIST ROAD |
| City | MONUMENT |
| State | CO |
| Zip Code | 80132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314131 | 100 Percent Chiropractic Rodgers LLC | Chiropractor | 1495 Cipriani Loop, Monument, CO 80132 | 2019-03-12 |
| 1417421025 | Jackson Creek Assisted Living, LLC | Assisted Living Facility | 16601 Jackson Creek Parkway, Monument, CO 80132 | 2019-01-16 |
| 1609352186 | Mountain Springs Recovery LLC | Substance Abuse Rehabilitation Facility | 1865 Woodmoor Dr, Monument, CO 80132 | 2018-07-17 |
| 1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
| 1265926844 | Lauren Elizabeth Nasuti | Massage Therapist | 17232 Jackson Creek Pkwy, #300, Monument, CO 80132 | 2018-06-18 |
| 1578079224 | Courtney Hopkins | Behavior Technician | 590 Hwy 105 Suite 105, Monument, CO 80132 | 2017-12-18 |
| 1033623475 | Deborah Tebault | Counselor | 220 N. Washington St., Suite F, Monument, CO 80132 | 2017-11-21 |
| 1902347578 | Monument Dentists and Orthodontics, LLP | Dentist | 950 W Baptist Road, Suite 100, Monument, CO 80132 | 2017-03-16 |
| 1972909463 | Timothy P O'connor | Counselor | 3065 Mt. Herman Rd., Monument, CO 80132 | 2014-11-10 |
| 1154759983 | 100 Percent Chiropractic Monument LLC | Chiropractor | 1793 Lake Woodmoor Drive, Monument, CO 80132 | 2013-10-14 |
| Find all providers in zip 80132 | ||||
| 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 |
|---|---|---|---|---|
| 1013359876 | Bradley Scott Burtwistle | Dentist | 325 2nd St Ste A, Monument, CO 80132-7935 | 2013-07-22 |
| 1942485131 | Kelly Sabrina Lamoreaux | Dentist | 1864 Woodmoor Dr, Suite #101, Monument, CO 80132-9095 | 2008-01-07 |
| 1265647846 | Thomas Evan Hughes | Dentist | 1880 Willow Park Way, Monument, CO 80132-9090 | 2007-05-14 |
| 1962586982 | Tommy Raymound Schwab | Dentist | 19143 Strawberry Ln, Monument, CO 80132-8936 | 2006-10-25 |
| 1003999392 | Christopher Joseph Hasselback | Dentist | 556 Highway 105, Monument, CO 80132-9125 | 2006-10-23 |
| 1477663508 | David J. Jones | Dentist | 18925 Base Camp Rd, Monument, CO 80132-3414 | 2006-08-30 |
| 1114939550 | Arlie Eugene Burnham Jr. | Dentist | 19415 Sherwood Trl, Monument, CO 80132-2809 | 2006-08-13 |
| 1871508358 | A J Gerathy Jr Dmd LLC | Dentist | 325 Second Street, Suite A, Monument, CO 80132 | 2006-07-30 |
| 1548893928 | Andrew Wilson Dethloff | Dentist | 1777 Lake Woodmoor Dr, Monument, CO 80132-9074 | 2020-02-13 |
| 1467721977 | David J Jones Dds PC | Dentist | 18925 Base Camp Rd, Monument, CO 80132-3414 | 2011-12-29 |
| Find all providers in MONUMENT | ||||
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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.