COLORADO DENTAL PROFESSIONALS, LLC (NPI# 1770791790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770791790 |
| Entity Type | Organization |
| Organization Name | COLORADO DENTAL PROFESSIONALS, LLC |
| Other Organization Name | SMOKY HILL DENTAL |
| Practice Address |
18525 E Smoky Hill Rd Suite D Centennial CO 80015-3108 |
| Practice Telephone | 3036179090 |
| Practice Fax Number | 3036179838 |
| Mailing Telephone | 3036179090 |
| Mailing Fax Number | 3036179838 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD) |
| Authorized Official Telephone | 2175408972 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
CO7099 | CO | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
CO7282 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DANIEL B NORRIE | 1700878626 | 01 |
| CO | ROB C MULLINS | 1861494494 | 01 |
| Other Name | Type Code |
|---|---|
| Smoky Hill Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179521 | Colorado Dental Professionals, LLC | Dentist | 13075 Copperhead Trl, Parker, CO 80134-6243 | 2020-06-24 |
| 1578101200 | Colorado Dental Professionals, LLC | Dentist | 8290 S Holly St Ste A, Centennial, CO 80122-4029 | 2019-12-12 |
| 1306487053 | Colorado Dental Professionals, LLC | Dentist | 14823 W 91st Pl, Arvada, CO 80005-1454 | 2019-10-03 |
| 1962059931 | Colorado Dental Professionals, LLC | Dentist | 655 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3859 | 2019-08-23 |
| 1700449436 | Colorado Dental Professionals, LLC | Dentist | 904 Hailey Ln Ste A, Pueblo West, CO 81007-4456 | 2019-04-18 |
| 1689145609 | Colorado Dental Professionals, LLC | Dentist | 6726 S Revere Pkwy # A140, Centennial, CO 80112-3961 | 2018-12-17 |
| 1326553819 | Colorado Dental Professionals, LLC | Dentist | 2297 State Highway 7, Erie, CO 80516-8009 | 2017-12-06 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1477065506 | Colorado Dental Professionals, LLC | Dentist | 7520 Bierstadt Hts Ste 125, Falcon, CO 80831-6177 | 2017-10-30 |
| 1902265382 | Colorado Dental Professionals, LLC | Dentist | 12889 Quebec Street, Thornton, CO 80602 | 2016-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Colorado Dental Professionals, LLC | 1900 W. Littleton Blvd, Littleton, CO 80120 |
| Street Address |
18525 E SMOKY HILL RD SUITE D |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80015-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494494 | Rob Casey Mullins | Dentist | 18525 E Smoky Hill Rd, Suite D, Centennial, CO 80015-3108 | 2005-08-12 |
| 1174860753 | Yanira Owens | Dental Hygienist | 18525 E Smoky Hill Rd, Suite D, Centennial, CO 80015-3108 | 2013-01-15 |
| 1700878626 | Daniel Bryce Norrie | Dentist | 18525 E Smoky Hill Rd, #d, Centennial, CO 80015-3108 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
| 1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
| 1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
| 1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
| 1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
| 1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
| 1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
| Find all providers in zip 80015 | ||||
| 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 |
|---|---|---|---|---|
| 1477177715 | Nathaniel Rivera | Dentist | 6950 S Holly Cir Ste 202, Centennial, CO 80112-7403 | 2020-06-02 |
| 1578101200 | Colorado Dental Professionals, LLC | Dentist | 8290 S Holly St Ste A, Centennial, CO 80122-4029 | 2019-12-12 |
| 1063053288 | Dylan Leto | Dentist | 19245 E Smoky Hill Rd Unit B, Centennial, CO 80015-3122 | 2019-09-30 |
| 1356859243 | Sridevi Kaul | Dentist | 6565 South Syracuse Way, Apartment 1908, Centennial, CO 80111-8011 | 2018-01-13 |
| 1922518208 | Peter Kim | Dentist | 15737 E Prentice Dr, Centennial, CO 80015-4264 | 2017-10-02 |
| 1841678414 | Gary G Wolfson, D.d.s. Pllc | Dentist | 14000 E Arapahoe Rd # C310, Centennial, CO 80112-4043 | 2015-05-14 |
| 1750728572 | Neda Karami | Dentist | 20709 E Euclid Dr, Centennial, CO 80016-3139 | 2013-06-03 |
| 1316280092 | Corbin Kevin Popp | Dentist | 9085 E Mineral Cir Ste 220, Centennial, CO 80112-3400 | 2013-04-01 |
| 1578874129 | Kathryn Buss | Dentist | 2330 E Arapahoe Rd Ste 900, Centennial, CO 80122-3299 | 2010-06-29 |
| 1194957415 | Southglenn Modern Dentistry, LLP | Dentist | 2330 E Arapahoe Rd, Suite 900, Centennial, CO 80122-1508 | 2009-08-20 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80015 |
Please comment or provide details below to improve the information on COLORADO DENTAL PROFESSIONALS, LLC.
| 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.