AWESOME DENTAL, PLLC (NPI# 1619360146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619360146 |
| Entity Type | Organization |
| Organization Name | AWESOME DENTAL, PLLC |
| Other Organization Name | AWESOME DENTAL STAPLETON |
| Practice Address |
3600 Quebec St 2nd Floor Denver CO 80207-1637 |
| Practice Telephone | 3033551818 |
| Mailing Telephone | 3033551818 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Authorized Official Name | DR. JACK NGUYEN (DENTIST) |
| Authorized Official Telephone | 3033551818 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
10155 | CO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Awesome Dental Stapleton | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Awesome Dental, PLLC | 3600 Quebec Street, 2nd Floor, Denver, CO 80207 |
| Street Address |
3600 QUEBEC ST 2ND FLOOR |
| City | DENVER |
| State | CO |
| Zip Code | 80207-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899350 | Angelica Seto Dds Pllc | Clinic/Center | 2842 Fairfax St, Denver, CO 80207 | 2020-07-29 |
| 1770125593 | Lisa Hagerman | Registered Nurse | 3674 Dexter St, Denver, CO 80207 | 2019-10-14 |
| 1265905954 | Madeline Goldberg | Physical Therapist | 3401 Quebec St., Suite 3100, Denver, CO 80207 | 2019-01-06 |
| 1457828055 | Element Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3875 Newport St Unit C, Denver, CO 80207 | 2018-11-01 |
| 1326408295 | Abraham Haile | Behavioral Analyst | 3355 Locust St, Denver, CO 80207 | 2016-03-04 |
| 1487091443 | Derek Stephen Owens | Dentist | 3255 Locust St., Denver, CO 80207 | 2013-05-31 |
| 1275875338 | Brienne Stotts | Counselor | 3355 Hudson Street #7473, Denver, CO 80207 | 2013-03-26 |
| 1790052538 | Stephanie Marie Ratner | Social Worker | 3401 North Eudora Street, Denver, CO 80207 | 2011-11-22 |
| 1679876908 | Carol Larocque | Counselor | 3401 Eudora St., Denver, CO 80207 | 2010-12-08 |
| 1295037026 | Lena Dunning | Social Worker | 3404 N Eudora Street, Denver, CO 80207 | 2010-11-30 |
| Find all providers in zip 80207 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576428 | Kids In Need of Dentistry | Clinic/Center | 925 N Lincoln St Ste B, Denver, CO 80203-2784 | 2020-10-22 |
| 1417554668 | Turner, Pllc | Clinic/Center | 5361 S Gray St, Denver, CO 80123-5110 | 2020-10-01 |
| 1740899350 | Angelica Seto Dds Pllc | Clinic/Center | 2842 Fairfax St, Denver, CO 80207 | 2020-07-29 |
| 1629694724 | Downtown Denver Dental Pllc | Clinic/Center | 1050 17th St Ste B-190, Denver, CO 80265-1050 | 2020-06-24 |
| 1831657287 | Tamarac Endodontics, PC | Clinic/Center | 7555 E Hampden Ave Ste 305, Denver, CO 80231-4834 | 2019-03-05 |
| 1710450192 | Abs Dentistry.pllc | Clinic/Center | 2101 S Clermont St, Denver, CO 80222-5006 | 2019-01-08 |
| 1992275630 | Signature Colorado Dental Partners | Clinic/Center | 999 18th St Ste 1300, Denver, CO 80202-2453 | 2018-11-26 |
| 1417443797 | Douglas R. Sewell Dmd Pllc. | Clinic/Center | 695 S Colorado Blvd Ste 300, Denver, CO 80246-8013 | 2018-07-10 |
| 1639669583 | Potter Dds, LLC | Clinic/Center | 3145 Larimer St, Denver, CO 80205-2312 | 2018-05-16 |
| 1922598275 | Julie C. Spivey, D.m.d., P.l.l.c. | Clinic/Center | 407 N Nc 16 Business Hwy, Denver, NC 28037-6003 | 2018-05-12 |
| 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.