38TH MODERN DENTAL PRACTICE, LLC


Address: 3550 W 38th Ave., #5, Denver, CO 80211
Phone: 3035157008

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
38th Modern Dental Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities 38th Modern Dental Practice, LLC 3715 Bloomington Street, Suite 160, Colorado Springs, CO 80922

Office Location

Street Address 3550 W 38TH AVE.
#5
City DENVER
State CO
Zip Code 80211

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City DENVER
Zip Code 80211

Improve Information

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Dataset Information

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.

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