BUFFALO PARK DENTISTRY (NPI# 1710410543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710410543 |
| Entity Type | Organization |
| Organization Name | BUFFALO PARK DENTISTRY |
| Practice Address |
28577 Buffalo Park Rd Ste260 Evergreen CO 80439-7370 |
| Mailing Address |
28577 Buffalo Park Rd Ste 260 Evergreen CO 80439-7370 |
| Practice Telephone | 7857664991 |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2017-04-08 |
| Authorized Official Name | DR. ALEX R ROBERTS (OWNER DENTIST) |
| Authorized Official Telephone | 7857664991 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
10300 | CO | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Buffalo Park Dentistry, PLLC | 28577 Buffalo Park Rd., Suite 260, Evergreen, CO 80439 |
| Street Address |
28577 BUFFALO PARK RD STE260 |
| City | EVERGREEN |
| State | CO |
| Zip Code | 80439-7370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528024064 | Charles Richard Powell | Dentist | 28577 Buffalo Park Rd, Suite 260, Evergreen, CO 80439-7370 | 2006-04-24 |
| 1417295726 | Kara Jane Campbell | Social Worker | 28577 Buffalo Park Rd, #250, Evergreen, CO 80439-7370 | 2013-01-21 |
| 1417225947 | Deanna Rae Mcnairy | Counselor | 28577 Buffalo Park Rd, Suite 100, Evergreen, CO 80439-7370 | 2011-12-12 |
| 1871645275 | Phyllis A Kirk | Counselor | 28577 Buffalo Park Rd, 250, Evergreen, CO 80439-7370 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134351 | Mary Elizabeth Pruet | Speech-Language Pathologist | 26284 Grand Summit Trl, Evergreen, CO 80439 | 2018-05-15 |
| 1821511031 | Marie Ann St. Denis | Acupuncturist | 27919 Alabraska Lane, Evergreen, CO 80439 | 2017-07-19 |
| 1285173203 | Natalie Mannon Ibrahim | Physician Assistant | 30940 Stagecoach Blvd, Ste E290, Elk Ridge Family Physicians, Inc, Evergreen, CO 80439 | 2017-02-23 |
| 1801330923 | Leah Black | Dietitian, Registered | 2952 Conifer Circle, Evergreen, CO 80439 | 2016-12-08 |
| 1831640291 | Bear Creek Mental Health LLC | Community/Behavioral Health | 4911 Plettner Ln, Ste 210, Evergreen, CO 80439 | 2016-10-20 |
| 1164971974 | Animal-assisted Therapy of The Mountain Communities | Counselor | 28000 Meadow Dr Suite 105, Evergreen, CO 80439 | 2016-09-22 |
| 1093191793 | Jennifer Schreiber | Occupational Therapist | 1659 Stoneham Lane, Evergreen, CO 80439 | 2015-08-04 |
| 1366879371 | Victoria Carleen Bown | Physical Therapist | 32003 Ellingwood Trail, Evergreen, CO 80439 | 2013-10-04 |
| 1235563867 | Sharon Bland Morgan | Registered Nurse | 5435 So. Twinspruce Rd., Evergreen, CO 80439 | 2013-08-30 |
| 1720429129 | Lorna Mary Cochrane | Behavioral Analyst | 7345 Heiter Hill Dr., Evergreen, CO 80439 | 2013-07-13 |
| Find all providers in zip 80439 | ||||
| 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 |
|---|---|---|---|---|
| 1023249836 | Big Smiles Colorado PC | Dentist | 26926 Fern Gulch Rd, Evergreen, CO 80439-5633 | 2009-07-29 |
| 1316199268 | Kenneth Francis White | Dentist | 6273 Annapurna Dr, Evergreen, CO 80439-5332 | 2008-10-22 |
| 1962682567 | Gary Dante Rotolo | Dentist | 1232 Bergen Pkwy, Evergreen, CO 80439-9573 | 2007-11-12 |
| 1518181601 | Kenneth E. Levos, Dds, PC | Dentist | 28000 Meadow Dr Unit 107, Evergreen, CO 80439-8395 | 2007-04-12 |
| 1679691661 | Floyd Michael Cartwright | Dentist | 122 Court Street, Evergreen, AL 36401 | 2007-03-27 |
| 1538230081 | Karen Braun Kooken | Dentist | 32156 Castle Ct Ste 108, Evergreen, CO 80439-9500 | 2006-11-13 |
| 1336246818 | Richard W Wheeler | Dentist | 3540 Evergreen Pkwy, Evergreen, CO 80439-7707 | 2006-09-19 |
| 1710913017 | Thomas David Pond | Dentist | 29723 Troutdale Scenic Dr, Evergreen, CO 80439-7737 | 2006-06-25 |
| 1528024064 | Charles Richard Powell | Dentist | 28577 Buffalo Park Rd, Suite 260, Evergreen, CO 80439-7370 | 2006-04-24 |
| 1093711848 | Michael Joe Larson | Dentist | 30940 Stagecoach Blvd, Ste E250, Evergreen, CO 80439-7984 | 2005-06-27 |
| Find all providers in EVERGREEN | ||||
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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.