SMILE 5 PROFESSIONALS LLC (NPI# 1255666376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255666376 |
| Entity Type | Organization |
| Organization Name | SMILE 5 PROFESSIONALS LLC |
| Other Organization Name | COMFORT DENTAL BRACES |
| Practice Address |
10401 East Colfax Ave Aurora CO 80010 |
| Practice Telephone | 3033412273 |
| Practice Fax Number | 3033442286 |
| Mailing Telephone | 3033412273 |
| Mailing Fax Number | 3033442286 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |
| Authorized Official Name | DR. BRODIE LEN BOWMAN (OWNER) |
| Authorized Official Telephone | 3033412273 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9750 | CO | Dental Providers |
| Other Name | Type Code |
|---|---|
| COMFORT DENTAL BRACES | Doing Business As Name - Organization |
| Street Address |
10401 EAST COLFAX AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991659 | Jennifer Hummer Fisher | Registered Nurse | Dawn Clinic, 1445 Dayton St, Aurora, CO 80010 | 2019-06-18 |
| 1770147662 | Lindsey Grace Torres | Counselor | 1455 Beeler Str., Aurora, CO 80010 | 2019-04-25 |
| 1700359536 | Jose Alberto Diaz Leo | Registered Nurse | 9801 East Colfax, Suite 130, Aurora, CO 80010 | 2019-01-04 |
| 1235617440 | Jose Francisco Gurruchaga | Student in an Organized Health Care Education/Training Program | 1504 Galena St., Aurora, CO 80010 | 2018-07-31 |
| 1659727907 | Nauliate Hutagalung | Case Manager/Care Coordinator | 995 Kenton St, Aurora, CO 80010 | 2016-05-05 |
| 1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
| 1487059614 | Jyoti Sapkota | Counselor | 1537 Alton St., Aurora, CO 80010 | 2014-10-30 |
| 1972925543 | Sonam Khanal | Social Worker | 1537 Alton St, Aurora, Aurora, CO 80010 | 2014-01-15 |
| 1487925665 | Ardas LLC | Clinic/Center | 10180 E Colfax Ave Ste 150, Aurora, CO 80010 | 2012-01-20 |
| 1659503860 | Havana and Colfax Dental Partners Proff LLP | Dentist | 10401 E. Colfax Ave, Aurora, CO 80010 | 2009-08-20 |
| Find all providers in zip 80010 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779164 | Orthodontic Experts, Ltd | Dentist | 2987 Kirk Rd Ste 103a, Aurora, IL 60502-6014 | 2020-01-21 |
| 1356850002 | Kathleen Elverman | Dentist | 13065 East 17th Avenue, Mail Stop F846, Aurora, CO 80045 | 2017-09-26 |
| 1073042370 | Theresa Shaver Orthodontics | Dentist | 5001 S Parker Rd Ste 201, Aurora, CO 80015-1183 | 2017-06-08 |
| 1700255676 | Colorado Orthodontics | Dentist | 2993 S Peoria St Ste 260, Aurora, CO 80014-5710 | 2015-09-21 |
| 1932447026 | Winsmile Orthodontics & Cosmetic Dentistry | Dentist | 633 S Route 59, Aurora, IL 60504-8169 | 2013-01-23 |
| 1972866077 | Kristen Lowe | Dentist | 13123 E 16th Ave # 240, Aurora, CO 80045-7106 | 2012-06-22 |
| 1851626691 | Gary Lippincott | Dentist | 70 S Constitution Dr, 102, Aurora, IL 60506-7341 | 2009-10-13 |
| 1396940003 | Daniel John Rejman | Dentist | 15159 E Colfax Ave Unit B, Aurora, CO 80011-5707 | 2007-06-21 |
| 1194845602 | Roger B Elton | Dentist | 5657 S Himalaya St Ste 110, Aurora, CO 80015-5308 | 2007-03-29 |
| 1881728483 | Shari L Wolsky | Dentist | 75 N Chillicothe Rd, Aurora, OH 44202-8739 | 2007-03-15 |
| Find all providers in AURORA | ||||
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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.