UNION SQUARE DENTAL ASSOCIATES, P.C. (NPI# 1740214923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740214923 |
| Entity Type | Organization |
| Organization Name | UNION SQUARE DENTAL ASSOCIATES, P.C. |
| Practice Address |
255 Union Blvd Suite 495 Lakewood CO 80228-1810 |
| Practice Telephone | 3039891423 |
| Mailing Telephone | 3039891423 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RANDALL SCOTT HALL (PRESIDENT) |
| Authorized Official Telephone | 3039891423 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
HD1-00709 | CO | Dental Providers |
| Street Address |
255 UNION BLVD SUITE 495 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612055 | Randall S Hall | Dentist | 255 Union Blvd, Suite 495, Lakewood, CO 80228-1810 | 2005-07-13 |
| 1295286128 | Beate Knoche | Pharmacist | 255 Union Blvd, Suite 100, Lakewood, CO 80228-1810 | 2016-10-14 |
| 1124492392 | Audiology Services & Hearing Aids Inc | Audiologist-Hearing Aid Fitter | 255 Union Blvd, Ste 220, Lakewood, CO 80228-1810 | 2015-11-25 |
| 1982076832 | Table Mountain Foot and Ankle Clinic PC | Podiatrist | 255 Union Blvd, Suite 310, Lakewood, CO 80228-1810 | 2015-10-30 |
| 1265810709 | Freison Family Dentistry | Clinic/Center | 255 Union Blvd, Suite 495, Lakewood, CO 80228-1810 | 2015-05-17 |
| 1730577651 | Front Range Orthotics | Durable Medical Equipment & Medical Supplies | 255 Union Blvd, Suite 380, Lakewood, CO 80228-1810 | 2014-12-30 |
| 1902204357 | Chris Cumsille | Orthotist | 255 Union Blvd, Suite 380, Lakewood, CO 80228-1810 | 2014-12-17 |
| 1679973226 | Kirby Miller | Orthotist | 255 Union Blvd, Ste 380, Lakewood, CO 80228-1810 | 2014-09-02 |
| 1093053159 | Rebecca Kr Freeman | Nurse Practitioner | 255 Union Blvd, 120, Lakewood, CO 80228-1810 | 2013-01-24 |
| 1184986184 | Chad Malcolm Reader | Dentist | 255 Union Blvd, Suite 420, Lakewood, CO 80208-1852 | 2012-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| 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 |
|---|---|---|---|---|
| 1699386706 | Westgate Family Dentistry | Dentist | 2323 S Wadsworth Blvd Ste 109, Lakewood, CO 80227-3254 | 2020-08-12 |
| 1467076034 | Cornelius Joseph Osullivan | Dentist | 13616 Madison Ave, Lakewood, OH 44107-4709 | 2020-05-30 |
| 1245870336 | My Local Colorado Dental Practice, LLC | Dentist | 264 Union Blvd Ste 200, Lakewood, CO 80228-1970 | 2020-01-07 |
| 1265082366 | Leong and Pandhoh Dental Corporation | Dentist | 2710 Carson St, Lakewood, CA 90712-4051 | 2019-09-19 |
| 1598319550 | Golnaz Sadat Samimifar | Dentist | 325 S Teller St Ste 280, Lakewood, CO 80226-7389 | 2019-07-29 |
| 1861044232 | Bryce Jeffrey Plancich | Dentist | 5726 100th St Sw, Lakewood, WA 98499-2730 | 2019-07-15 |
| 1578122628 | Marc Joseph Salme | Dentist | 386 E Fairmount Ave, Lakewood, NY 14750-2130 | 2019-06-12 |
| 1376023101 | Edward J Wang | Dentist | 5606 Lakewood Towne Center Blvd Sw Ste B, Lakewood, WA 98499-3894 | 2018-08-21 |
| 1740649839 | Justin Ford Becerra | Dentist | 2323 S Wadsworth Blvd Ste 1778, Lakewood, CO 80227-3274 | 2016-02-17 |
| 1740657378 | Timothy M. Schroeder Dds | Dentist | 6565 W Jewell Ave Ste 3, Lakewood, CO 80232-7102 | 2015-08-31 |
| Find all providers in LAKEWOOD | ||||
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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.