PIONEER DENTAL SERVICES, PLLC (NPI# 1104449818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104449818 |
| Entity Type | Organization |
| Organization Name | PIONEER DENTAL SERVICES, PLLC |
| Practice Address |
340 Justin Ave Ste 102 Platteville CO 80651-7819 |
| Mailing Address |
479 Josephine St Denver CO 80206-4208 |
| Practice Telephone | 9707856280 |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | DR. BRYAN MARSHALL (OWNER) |
| Authorized Official Telephone | 3522790376 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pioneer Dental Services, PLLC | 479 Josephine Street, Denver, CO 80206 |
| Street Address |
340 JUSTIN AVE STE 102 |
| City | PLATTEVILLE |
| State | CO |
| Zip Code | 80651-7819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171148 | Gabriela Guevara | Homemaker | 19399 County Road 25, Platteville, CO 80651 | 2020-07-09 |
| 1255746095 | Rachel Quinn Collins | Physician Assistant | 6801 W. 20th Suite 208, Greeley, CO 80651 | 2014-06-30 |
| 1932722469 | Nathaniel R Klimek | Emergency Medical Technician, Paramedic | 303 S Main St, Platteville, CO 80651 | 2020-05-19 |
| 1851869473 | Platteville Fire Protection District | Ambulance | 303 Main St, Platteville, CO 80651 | 2018-11-13 |
| 1316232234 | Kelly Weaver | Speech-Language Pathologist | 709 Goodrich Ct, Platteville, CO 80651-7586 | 2011-06-20 |
| 1730433889 | Platteville Family Dentistry | Clinic/Center | 340 Justin Ave, Suite 120, Platteville, CO 80651-7800 | 2012-10-27 |
| 1891830246 | Beth Ann Dorian | Dentist | 340 Justin Ave, Suite 102, Platteville, CO 80651-7818 | 2007-02-21 |
| 1932404829 | Sandra Rose Nunn | Occupational Therapy Assistant | 427 Stevens Cir, Platteville, CO 80651-7900 | 2011-01-24 |
| 1124509633 | Grey Havens, LLC | Nurse's Aide | 12570 County Road 34, Platteville, CO 80651-8314 | 2018-08-23 |
| 1023132081 | Kelly Suzanne Doolittle | Audiologist | 19729 Weld County Road 25.5, Platteville, CO 80651-8908 | 2007-03-16 |
| Find all providers in zip 80651 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349167 | Link Family Dental, LLC | Clinic/Center | 580 Kase St, Platteville, WI 53818-1814 | 2020-06-04 |
| 1730433889 | Platteville Family Dentistry | Clinic/Center | 340 Justin Ave, Suite 120, Platteville, CO 80651-7800 | 2012-10-27 |
| 1255573184 | Platteville Dental LLC | Clinic/Center | 1270 N Water St, Platteville, WI 53818-1450 | 2009-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669074 | Red House | Clinic/Center | 440 S Lincoln Ave Ste B10, Steamboat Springs, CO 80487-8935 | 2020-11-02 |
| 1881294387 | Scott Holm Dmd Pllc | Clinic/Center | 685 Citadel Dr E Ste 200b, Colorado Springs, CO 80909-5315 | 2020-10-26 |
| 1205435013 | Kids In Need of Dentistry | Clinic/Center | 4201 E 72nd Ave Unit D, Commerce City, CO 80022-1578 | 2020-10-22 |
| 1619576428 | Kids In Need of Dentistry | Clinic/Center | 925 N Lincoln St Ste B, Denver, CO 80203-2784 | 2020-10-22 |
| 1477151173 | Professional Dental Care of New Mexico | Clinic/Center | 10233 S Parker Rd Ste 107, Parker, CO 80134-9314 | 2020-10-14 |
| 1023615556 | Vida Orthodontics | Clinic/Center | 19551 Hess Rd Unit 110, Parker, CO 80134-3446 | 2020-10-07 |
| 1417554668 | Turner, Pllc | Clinic/Center | 5361 S Gray St, Denver, CO 80123-5110 | 2020-10-01 |
| 1316553860 | Willow Creek Perfect Teeth PC | Clinic/Center | 8150 S Quebec St Ste C, Centennial, CO 80112-3186 | 2020-09-21 |
| 1326653841 | Nic - Denver, Pllc | Clinic/Center | 8000 E Prentice Ave Ste A3, Greenwood Village, CO 80111-2725 | 2020-09-11 |
| 1568075489 | Open and Affordable Dental Cs North Pllc | Clinic/Center | 6375 Lehman Dr Ste 200, Colorado Springs, CO 80918-1427 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
| City | PLATTEVILLE |
| Zip Code | 80651 |
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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.