IMPLANT AND GENERAL DENTISTRY OF NORTHERN COLORADO (NPI# 1891749040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891749040 |
| Entity Type | Organization |
| Organization Name | IMPLANT AND GENERAL DENTISTRY OF NORTHERN COLORADO |
| Practice Address |
2975 Ginnala Dr Ste 100 Loveland CO 80538-3300 |
| Practice Telephone | 9706631000 |
| Practice Fax Number | 9706630615 |
| Mailing Telephone | 9706631000 |
| Mailing Fax Number | 9706630615 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-05-17 |
| Authorized Official Name | DR. THEODORE EUGENE MIODUSKI JR. (DENTIST) |
| Authorized Official Telephone | 9706631000 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
CO8285 | CO | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
CO105715 | CO | Dental Providers |
| Street Address |
2975 GINNALA DR STE 100 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013955046 | Theodore Eugene Mioduski Jr. | Dentist | 2975 Ginnala Dr Ste 100, Loveland, CO 80538-3300 | 2006-06-03 |
| 1437197589 | Nicole Marie Ferrara | Dentist | 2975 Ginnala Dr Ste 100, Loveland, CO 80538-3300 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| 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 |
|---|---|---|---|---|
| 1669851622 | Gina Marie Patrice | Dentist | 6378 Branch Hill Guinea Pike, Loveland, OH 45140-6958 | 2015-05-23 |
| 1295139962 | James Keith Richards | Dentist | 1647 E 18th St., Loveland, CO 80538 | 2014-10-09 |
| 1689968190 | Robert Anthony Capozza | Dentist | 3249 Us Highway 22 and 3, Loveland, OH 45140-1004 | 2011-06-01 |
| 1427352541 | Loveland Dental Group, LLP | Dentist | 1569 Fall River Dr Ste 193, Loveland, CO 80538-9059 | 2011-01-04 |
| 1730316266 | Kiley Ann Barrett | Dentist | 2992 Ginnala Dr, Loveland, CO 80538-2701 | 2009-06-10 |
| 1245466770 | Lincoln Place Dentistry, PC | Dentist | 564 N Lincoln Ave, Loveland, CO 80537-5620 | 2009-06-10 |
| 1760618771 | Julianne Maria Swayne | Dentist | 410 W. Loveland Avenue, Suite C, Loveland, OH 45140 | 2009-06-04 |
| 1982869426 | Lawrence M Bruner | Dentist | 2502 Abarr Dr, Loveland, CO 80538 | 2008-07-24 |
| 1295918092 | Melvin Lee Hildebrand II | Dentist | 274 E 29th St, Loveland, CO 80538-2733 | 2007-12-14 |
| 1174726269 | Theodore E. Mioduski IIi | Dentist | 2975 Ginnala Dr, Suite #100, Loveland, CO 80538-3300 | 2007-06-07 |
| Find all providers in LOVELAND | ||||
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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.