DR. NINO DEMETRIUS POLLACCIA (NPI# 1356462188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356462188 |
| Entity Type | Individual |
| Full Name | DR. NINO DEMETRIUS POLLACCIA |
| Credential | DDS |
| Practice Address |
2761 W 120th Ave Suite 110 Westminster CO 80234 |
| Mailing Address |
2761 W 120th Ave Ste #110 Westminster CO 80234 |
| Practice Telephone | 3034283437 |
| Practice Fax Number | 3034299584 |
| Mailing Telephone | 3034283437 |
| Mailing Fax Number | 3034299584 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8941 | CO | Dental Providers |
| Street Address |
2761 W 120TH AVE SUITE 110 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598718025 | Ryan Kelley Probasco | Chiropractor | 2761 W 120th Ave, 120, Westminster, CO 80234-2975 | 2006-05-18 |
| 1700443934 | Courtney Kelley | Dental Hygienist | 2761 W 120th Ave, Westminster, CO 80234-2975 | 2019-05-23 |
| 1508007519 | Front Range Primary Care Partners LLC | Family Medicine | 2761 W 120th Ave, Westminster, CO 80234-2975 | 2009-03-20 |
| 1740488535 | Providence Healthcare Associates PC | Family Medicine | 2761 W 120th Ave, Suite 100, Westminster, CO 80234-2880 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375115 | Jeanne Weintraub | Counselor | Griffith Centers for Children, 10465 Melody Dr Suite 325, Northglenn, CO 80234 | 2020-08-07 |
| 1992273916 | Physicians Wellness Associates Pllc | Family Medicine | 12213 Pecos Street, Suite 700, Westminster, CO 80234 | 2018-11-07 |
| 1114409638 | Selathia Chestnut | Behavior Technician | 11698 Huron St., #106, Northglenn, CO 80234 | 2018-08-30 |
| 1194271478 | Alyssa Cure | Occupational Therapist | 11160 Huron Street, Suite 200, Northglenn, CO 80234 | 2016-08-28 |
| 1316492911 | The Hearing & Tinnitus Center | Audiologist-Hearing Aid Fitter | 1001 W. 120th Ave Suite 214, Westminster, CO 80234 | 2016-08-24 |
| 1386005791 | Rachel T Kraut | Registered Nurse | 1401 W 122nd Ave Ste 200, Westminster, CO 80234 | 2016-03-11 |
| 1780064469 | Mountain View Dental Northgleen LLC | Dentist | 421 W. 104th Ave, Suite 201, Northglenn, CO 80234 | 2015-06-08 |
| 1770902876 | Lisa Lorenzen | Specialist | 12172 Melody Drive, Westminster, CO 80234 | 2014-04-16 |
| 1306279492 | Jennifer Nicole Dahlke | Speech-Language Pathologist | 12201 Pecos St., Suite 200, Westminster, CO 80234 | 2013-08-13 |
| 1336588490 | America's Best Contacts & Eyeglasses | Technician/Technologist | 521 W 104th Ave, Suite J, Northglenn, CO 80234 | 2013-06-21 |
| Find all providers in zip 80234 | ||||
| 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 |
|---|---|---|---|---|
| 1295186708 | J and J LLC | Dentist | 8700 W 101st Ave, Suite 300, Westminster, CO 80021-3978 | 2016-06-27 |
| 1972950509 | David Whiting | Dentist | 8700 W 101st Ave Unit 300, Westminster, CO 80021-3948 | 2016-05-24 |
| 1639470941 | North Denver Oral & Maxillofacial Surgery | Dentist | 12213 Pecos St # 100, Westminster, CO 80234-3425 | 2010-11-03 |
| 1952562514 | Trevor Gregg Johnson | Dentist | 8700 W 101st Ave Ste 300, Westminster, CO 80021 | 2008-06-17 |
| 1376767475 | Sarah Sohyun Bong-thakur | Dentist | 1005 W 120th Ave Ste 800, Westminster, CO 80234-2747 | 2007-04-12 |
| 1801980388 | Douglas S. Hong | Dentist | 12213 Pecos St Ste 100, Westminster, CO 80234-3414 | 2006-10-02 |
| 1144229527 | Duong C. Nguyen | Dentist | 9900 Mcfadden Ave, Suite 204, Westminster, CA 92683-6978 | 2005-07-19 |
| 1740834381 | Colorado Dental Specialist Practice, LLC | Dentist | 1005 W 120th Ave Ste 800, Westminster, CO 80234-2747 | 2019-07-31 |
| 1295135960 | Bridger Dean Jensen | Dentist | 8700 W 101st Ave Ste 300, Westminster, CO 80021-3978 | 2014-08-29 |
| 1013212505 | Jay I. Chason | Dentist | 15 E Main St, Suite 222, Westminster, MD 21157-5000 | 2011-01-14 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80234 |
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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.