SAGE DENTISTY III PLLC (NPI# 1194242206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194242206 |
| Entity Type | Organization |
| Organization Name | SAGE DENTISTY III PLLC |
| Other Organization Name | FAMILY AND IMPLANT DENTISTRY OF BOULDER |
| Practice Address |
4150 Darley Ave Ste 7 Boulder CO 80305-6537 |
| Practice Telephone | (303) 989-4444 |
| Mailing Telephone | 3039894444 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-10-11 |
| Authorized Official Name | DR. SAGE E POLLACK (OWNER) |
| Authorized Official Telephone | 3039101910 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DEN.00202525 | Dental Providers |
| Other Name | Type Code |
|---|---|
| Family and Implant Dentistry of Boulder | Other Name - Individual/Organization |
| Street Address |
4150 DARLEY AVE STE 7 |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851887400 | Stephanie Flaksman | Dentist | 4150 Darley Ave Ste 7, Boulder, CO 80305-6537 | 2018-07-06 |
| 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 | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144709494 | Mercy Blalock | Dentist | 1840 Folsom St Ste 201, Boulder, CO 80302-5712 | 2018-08-08 |
| 1568817898 | Carmen Alicia Burke | Dentist | 877 E Moorhead Cir, C, Boulder, CO 80305-6119 | 2016-04-23 |
| 1114309135 | Alleman Family Dental PC | Dentist | 2551 31st St, Boulder, CO 80301-6119 | 2015-06-25 |
| 1568854271 | Jana A. Ikeda, Dds, PC | Dentist | 805 S Broadway St Ste 210, Boulder, CO 80305-5972 | 2015-03-04 |
| 1396150710 | Whitney Kitchell Smith | Dentist | 2700 Canyon Blvd, Ste 210, Boulder, CO 80302 | 2014-06-24 |
| 1144501453 | Thomas S Wolff | Dentist | 3056 Edison Ct, Boulder, CO 80301 | 2011-08-31 |
| 1972831709 | Peter Neilson Jeppsen | Dentist | 2500 30th St Ste 204, Boulder, CO 80301-1258 | 2009-12-07 |
| 1437484623 | Paul D'amore | Dentist | 7020 Baseline Rd, Boulder, CO 80303-3141 | 2009-10-06 |
| 1235362864 | Darren Rennaker | Dentist | 4300 Arapahoe Ave, Boulder, CO 80303 | 2009-08-31 |
| 1215167564 | George Habeeb Wyshak | Dentist | 6966 Harvest Rd, Boulder, CO 80301-3659 | 2009-07-21 |
| Find all providers in BOULDER | ||||
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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.