38TH MODERN DENTAL PRACTICE, LLC (NPI# 1609390632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609390632 |
Entity Type | Organization |
Organization Name | 38TH MODERN DENTAL PRACTICE, LLC |
Other Organization Name | 38TH MODERN DENTAL |
Practice Address |
3550 W 38th Ave. #5 Denver CO 80211 |
Mailing Address |
6020 N Carefree Cir Colorado Springs CO 80922-2402 |
Practice Telephone | 3035157008 |
Practice Fax Number | 8887907062 |
Mailing Telephone | 7192662717 |
Mailing Fax Number | 8887907062 |
Enumeration Date | 2017-08-01 |
Last Update Date | 2017-08-01 |
Authorized Official Name | SCOTT FREDERICK (OWNER) |
Authorized Official Telephone | 3035157008 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 122300000X | Dentist | Dental Providers | ||
N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
38th Modern Dental | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | 38th Modern Dental Practice, LLC | 3715 Bloomington Street, Suite 160, Colorado Springs, CO 80922 |
Street Address |
3550 W 38TH AVE. #5 |
City | DENVER |
State | CO |
Zip Code | 80211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942818869 | Naomi Victoria Akwei-esterline | Community/Behavioral Health | 2640 W 26th Ave, Suite 217, Denver, CO 80211 | 2020-07-16 |
1073095436 | Kelsey Briana Vincent | Marriage & Family Therapist | 2855 Speer Blvd, Denver, CO 80211 | 2018-09-02 |
1669968806 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2490 W 26th Ave Ste 200, Denver, CO 80211 | 2018-07-10 |
1578061420 | Colorado Foot and Ankle Research Institute | Podiatrist | 3438 Federal Blvd, Denver, CO 80211 | 2018-01-25 |
1437668670 | Timothy Daniel Conwell | Chiropractor | 4444 Umatilla St., Denver, CO 80211 | 2017-09-20 |
1063951473 | Samuel Hawkins | Counselor | 2560 W. 29th, Denver, CO 80211 | 2017-02-17 |
1972045011 | Margaret Reynolds | Counselor | 2727 Bryant St Ste 510, Denver, CO 80211 | 2016-11-07 |
1508312141 | Kim Johnson | Counselor | 2460 W 26th Ave Denver, Denver, CO 80211 | 2016-09-01 |
1154877470 | Sara Galan | Counselor | 2405 W. 26th Ave, Denver, CO 80211 | 2016-08-28 |
1699125757 | Stefanie Raccuglia | Counselor | 2406 W 32nd Ave, Denver, CO 80211 | 2016-06-20 |
Find all providers in zip 80211 |
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 |
---|---|---|---|---|
1124632575 | Kristine Villanueva | Dentist | 18620 Green Valley Ranch Blvd, Denver, CO 80249-6843 | 2020-09-03 |
1801406087 | Victoria Ton | Dentist | 925 S Niagara St Ste 480, Denver, CO 80224-1681 | 2020-08-03 |
1841817400 | Wesley Stanton | Dentist | 3773 Cherry Creek Drive N, Denver, CO 80209 | 2020-06-30 |
1174149280 | Lakshmi R Reddy | Dentist | 18607 Green Valley Ranch Blvd Unit 104, Denver, CO 80249-8372 | 2020-06-24 |
1134754278 | Nadeen Ibrahim | Dentist | 2466 S Colorado Blvd Ste 102, Denver, CO 80222-5931 | 2020-03-09 |
1174154397 | Thaddeus J Mcalpin | Dentist | 4422 Iran St, Denver, CO 80249-7304 | 2020-01-27 |
1891335964 | My Local Colorado Dental Practice, LLC | Dentist | 1727 N Gilpin St, Denver, CO 80218-1205 | 2020-01-07 |
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 |
1174185854 | Cody Grant Jorgenson | Dentist | 100 Acoma St Ste 2, Denver, CO 80223-1464 | 2019-07-02 |
Find all providers in DENVER |
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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.