MODERN DENTAL PROFESSIONALS CO PC (NPI# 1164803276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164803276 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS CO PC |
| Other Organization Name | BRIGHT NOW DENTAL - PARKER |
| Practice Address |
11183 S Parker Rd Unit C Parker CO 80134-4905 |
| Mailing Address |
Po Box 25153 Santa Ana CA 92799-5153 |
| Practice Telephone | 3032092245 |
| Practice Fax Number | 3038402204 |
| Mailing Telephone | 7145786358 |
| Mailing Fax Number | 9492422631 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Authorized Official Name | DR. CRAIG A MELLOR (PC OWNER) |
| Authorized Official Telephone | 3032092250 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | MODERN DENTAL PROFESSIONALS CO PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
105734 | CO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Bright Now Dental - Parker | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629459011 | Modern Dental Professionals Co PC | Dentist | 1955 Arapahoe St Ste A, Denver, CO 80202-1830 | 2015-06-11 |
| 1427439819 | Modern Dental Professionals Co PC | Dentist | 951 E 120th Ave Unit D, Thornton, CO 80233-5719 | 2015-06-11 |
| 1528449915 | Modern Dental Professionals Co PC | Dentist | 7611 W Colfax Ave Unit D, Lakewood, CO 80214-5424 | 2015-06-11 |
| 1437530821 | Modern Dental Professionals Co PC | Dentist | 15 Ken Pratt Blvd Ste 280, Longmont, CO 80501-8656 | 2015-06-11 |
| 1568843076 | Modern Dental Professionals Co PC | Dentist | 7985 Wadsworth Blvd Ste B, Arvada, CO 80003-2111 | 2015-06-11 |
| 1356722748 | Modern Dental Professionals Co PC | Dentist | 3531 S College Ave Unit 110, Fort Collins, CO 80525-2642 | 2015-06-11 |
| 1376924753 | Modern Dental Professionals Co PC | Dentist | 23963 E Prospect Ave Ste Hv2be, Aurora, CO 80016-5342 | 2015-06-11 |
| 1457732844 | Modern Dental Professionals Co PC | Dentist | 3865 E Cherry Creek North Dr Ste 200, Denver, CO 80209-3806 | 2015-06-11 |
| 1902287550 | Modern Dental Professionals Co PC | Dentist | 3551 S Tower Rd Unit C, Aurora, CO 80013-3564 | 2015-06-09 |
| 1619358009 | Modern Dental Professionals Co PC | Dentist | 3626 E Highlands Ranch Pkwy Unit 107, Highlands Ranch, CO 80126-7885 | 2015-06-11 |
| Street Address |
11183 S PARKER RD UNIT C |
| City | PARKER |
| State | CO |
| Zip Code | 80134-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| 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 |
|---|---|---|---|---|
| 1306458740 | Mohammad Walid Omary | Dentist | 155 W Riverside Dr, Parker, AZ 85344-5221 | 2020-08-18 |
| 1477179521 | Colorado Dental Professionals, LLC | Dentist | 13075 Copperhead Trl, Parker, CO 80134-6243 | 2020-06-24 |
| 1205485612 | At Home Mobile Dental Corp. | Dentist | 18551 E Mainstreet # 103, Parker, CO 80134-4951 | 2019-09-09 |
| 1598287369 | Bond John Harman | Dentist | 19700 E Parker Square Dr Ste A, Parker, CO 80134-7300 | 2017-07-12 |
| 1902256837 | Kharis Dental, PC | Dentist | 5902 Corinth Chapel Rd, Parker, TX 75002-6445 | 2016-06-22 |
| 1588010409 | Parker Dentistry and Orthodontics, LLP | Dentist | 12947 S Parker Rd, Suite 2, Parker, CO 80134-3498 | 2016-05-10 |
| 1821422940 | Nathan Gunning | Dentist | 17805 Cottonwood Dr Unit 115, Parker, CO 80134-3952 | 2013-08-26 |
| 1215291885 | Nathaniel Conrad Cejka | Dentist | 18551 E Mainstreet, Suite 1c, Parker, CO 80134-4951 | 2012-06-28 |
| 1013288752 | Modern Dental Professionals Co, PC | Dentist | 11183 S Parker Rd, Unit C, Parker, CO 80134-4904 | 2012-01-25 |
| 1487875019 | Alvaro Felipe Ochoa | Dentist | 16691 Martingale Dr, Parker, CO 80134-9319 | 2007-05-01 |
| Find all providers in PARKER | ||||
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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.