DR. LONNIE M SIBLEY JR. (NPI# 1033287115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033287115 |
| Entity Type | Individual |
| Full Name | DR. LONNIE M SIBLEY JR. |
| Credential | DDS |
| Practice Address |
4155 Darley Ave Boulder CO 80305-6536 |
| Mailing Address |
1285 Centaur Village Dr Suite 200 Lafayette CO 80026-1214 |
| Practice Telephone | 3034997072 |
| Practice Fax Number | 3032007375 |
| Mailing Telephone | 7202872614 |
| Mailing Fax Number | 3032007375 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2759 | LA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
104233 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02042331 | 05 |
| Street Address |
4155 DARLEY AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-6536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585729 | Ethelyn Gail Thomason | Dentist | 4155 Darley Ave, Ste F, Boulder, CO 80305-6536 | 2005-08-17 |
| 1972963833 | Robert Stephen Judd | Dentist | 4155 Darley Ave, Boulder, CO 80305-6536 | 2016-03-04 |
| 1821468877 | Eve Beaumont | Dental Hygienist | 4155 Darley Ave, Boulder, CO 80305-6536 | 2015-10-02 |
| 1750764122 | Molly Johnson | Dentist | 4155 Darley Ave, Boulder, CO 80305-6536 | 2015-07-03 |
| 1962784751 | Miroslawa Gabriela Hari | Dental Hygienist | 4155 Darley Ave, Boulder, CO 80305-6536 | 2011-09-16 |
| 1730490897 | Joy Liou Hicks | Dentist | 4155 Darley Ave, Unit C, Boulder, CO 80305-6536 | 2010-06-23 |
| 1184744096 | Perfect Teeth Boulder P.C. | Dentist | 4155 Darley Ave, #f, Boulder, CO 80305-6536 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467967307 | Boulder Oral Surgery | Dentist | 3450 Penrose Pl Ste 120, Boulder, CO 80301-1800 | 2017-12-13 |
| 1306113261 | Peter Frederick Steinhauer | Dentist | 7492 Spring Dr, Boulder, CO 80303-5120 | 2011-11-21 |
| 1447493309 | Benjamin Daniel Foley | Dentist | 1420 28th St Ste 100, Boulder, CO 80303-1081 | 2009-04-08 |
| 1366601486 | Thien-thao Thi Le | Dentist | 1840 Folsom St Ste 304, Boulder, CO 80302-5712 | 2008-06-04 |
| 1083868988 | Aesthetic & Maxillofacial Associates | Dentist | 1610 Canyon Blvd, Boulder, CO 80302-5407 | 2008-11-05 |
| 1477761062 | Terrence R Nedbalski | Dentist | 3450 Penrose Pl, Ste #120, Boulder, CO 80301-1828 | 2007-05-18 |
| 1851433932 | Daniel B Foley | Dentist | 1440 28th St, Ste. 2, Boulder, CO 80303-1030 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071189 | Oms Associates Colorado PC | Dentist | 755 Maleta Ln Ste A, Castle Rock, CO 80108-7610 | 2020-10-26 |
| 1346849866 | Oms Associates Colorado PC | Dentist | 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 | 2020-10-26 |
| 1740889260 | Oms Associates Colorado PC | Dentist | 10219 Parkglenn Way Ste 201, Parker, CO 80138-3875 | 2020-10-26 |
| 1386266070 | Blue Sky Oms P.C. | Dentist | 1707 61st Ave Ste 102, Greeley, CO 80634-7997 | 2020-05-15 |
| 1679121404 | James W Makowski Dds PC | Dentist | 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 | 2019-08-26 |
| 1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
| 1689167280 | Cheyenne Mountain Oral Surgery PC | Dentist | 640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884 | 2018-06-08 |
| 1932692589 | Glendale Oral Surgery PC | Dentist | 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 | 2018-06-08 |
| 1790292431 | Alix Greenman | Dentist | 6179 S Balsam Way Ste 100, Littleton, CO 80123-3092 | 2018-01-03 |
| 1467964858 | David Andrew Benson, Dds, Pllc | Dentist | 6160 Tutt Blvd Ste 250, Colorado Springs, CO 80923-1500 | 2017-10-25 |
| 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.