COMMUNITY DENTAL CLINIC, INC. (NPI# 1932175346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932175346 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DENTAL CLINIC, INC. |
| Other Organization Name | THE PIC PLACE |
| Practice Address |
87 Merchant Dr Montrose CO 81401-3015 |
| Practice Telephone | 9702528896 |
| Practice Fax Number | 9702403095 |
| Mailing Telephone | 9702528896 |
| Mailing Fax Number | 9702403095 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2017-10-16 |
| Authorized Official Name | MELANIE HALL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9702528896 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | DELTA DENTAL CHP PLUS | 2528896 | 01 |
| CO | 06727841 | 05 |
| Other Name | Type Code |
|---|---|
| The PIC Place | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | COMMUNITY DENTAL CLINIC, INC. | 87 Merchant Drive, Montrose, CO 81401 |
| Street Address |
87 MERCHANT DR |
| City | MONTROSE |
| State | CO |
| Zip Code | 81401-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229124 | Rahul Shah | Dentist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2020-09-15 |
| 1518578855 | Nikki Steele | Nurse Practitioner | 87 Merchant Dr, Montrose, CO 81401-3015 | 2020-08-11 |
| 1801435722 | Courtney Cournan | Dental Hygienist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-12-23 |
| 1467912089 | Greta Mae Hoffman | Physician Assistant | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-03-20 |
| 1730644378 | Shannon Faye Neil | Dental Hygienist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-02-07 |
| 1770057945 | Leonardo Galvez Ramirez | Dentist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2019-01-21 |
| 1295206860 | Natalie Elizabeth Pacheco | Dental Hygienist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2018-12-07 |
| 1114432820 | Victoria Valentina Baumann | Counselor | 87 Merchant Dr, Montrose, CO 81401-3015 | 2017-12-05 |
| 1235664707 | Community Dental Clinic Inc. | Clinic/Center | 87 Merchant Dr, Montrose, CO 81401-3015 | 2017-04-21 |
| 1417403965 | Amiee Rawlings | Dentist | 87 Merchant Dr, Montrose, CO 81401-3015 | 2016-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183008 | Gregory Lee Reynolds Jr. | Pharmacist | 16750 South Townsend, Pharmacy, Montrose, CO 81401 | 2020-07-31 |
| 1780232215 | River Valley Family Health Centers | Pharmacy | 1010 S Rio Grande, Montrose, CO 81401 | 2019-08-28 |
| 1750938585 | Thomas J Harker | Pharmacist | 1010 Rio Grande, Montrose, CO 81401 | 2019-08-26 |
| 1548821317 | Terri Elizabeth Middleton-huntley | Registered Nurse | Center for Mental Health-crisis Walk-in Clinic, 300 N. Cascade, Montrose, CO 81401 | 2019-06-24 |
| 1427515121 | Holly L Speaks | Counselor | 225 S Nevada Ave, Montrose, CO 81401 | 2019-02-28 |
| 1922521541 | Lisa M Perez | Nurse Practitioner | 725 S 4th Street, 9702407734, CO 81401 | 2017-07-25 |
| 1104355015 | Judy Carol Fletcher | Registered Nurse | 1800 Pavillion Dr, Montrose, CO 81401 | 2017-06-06 |
| 1588106405 | Lindsay Rae Greenfield | Registered Nurse | 816 S 5th St Ste B, Montrose, CO 81401 | 2016-11-09 |
| 1679957393 | Denise Wallen | Registered Nurse | 1845 S. Townsend Ave., Montrose, CO 81401 | 2015-07-13 |
| 1649538810 | Deborah Thompson | Acupuncturist | 200 So Townsend, Ste. E, Montrose, CO 81401 | 2012-04-25 |
| Find all providers in zip 81401 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891281747 | Community Health Services, Inc. | Dentist | 0405 Castle Creek Rd., Suite 6, Aspen, CO 81611 | 2018-07-03 |
| 1215113402 | Total Oral Prevention Strategies | Dentist | 3216 High St, Denver, CO 80205-4062 | 2008-01-17 |
| 1386828929 | Hanh H Phi | Dentist | 199 Quebec St Unit B, Denver, CO 80220-6186 | 2007-12-18 |
| 1558360073 | Casey Lee Kochevar | Dentist | 1446 Hover Street, Suite #100, Longmont, CO 80501 | 2005-07-18 |
| 1407855117 | Melissa Ann Musolf | Dentist | 6140 Tutt Blvd, Suite 150, Colorado Springs, CO 80922-3575 | 2005-07-15 |
| 1548269269 | James B. Moses | Dentist | 6000 E Evans Ave, Bld 3 Suite 200, Denver, CO 80222-5406 | 2005-07-14 |
| 1326046137 | Kenneth S Lahr | Dentist | 19423 N Turkey Creek Rd, Morrison, CO 80465-8902 | 2005-07-14 |
| 1659378701 | Dennis James Lewis | Dentist | 877 South Boulder Road, Louisville, CO 80027-1345 | 2005-07-05 |
| 1265067425 | Mobile Outreach Alliance | Dentist | 8422 W 78th Cir, Arvada, CO 80005-4407 | 2020-03-09 |
| 1508428434 | Margaret Chavez | Dentist | 421 Walnut Street, La Jara, CO 81140 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
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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.