COMPREHENSIVE AESTHETIC DENTAL ASSOCIATES LLC (NPI# 1386085520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386085520 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE AESTHETIC DENTAL ASSOCIATES LLC |
| Practice Address |
1055 17th Ave Suite 104 Longmont CO 80501-2680 |
| Practice Telephone | 3037761335 |
| Practice Fax Number | 3037767516 |
| Mailing Telephone | 3037761335 |
| Mailing Fax Number | 3037767516 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2014-10-20 |
| Authorized Official Name | DR. TODD MICHAEL ROBY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3036410954 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
104163 | CO | Dental Providers |
| Street Address |
1055 17TH AVE SUITE 104 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-2680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638833 | Craig J Hovick | Dentist | 1055 17th Ave, Ste 101, Longmont, CO 80501-2647 | 2005-06-10 |
| 1922474030 | Happy Feet Podiatry, P.C. | Clinic/Center | 1055 17th Ave, Suite 201, Longmont, CO 80501-2680 | 2015-08-12 |
| 1538542741 | Chase Edwards | Dentist | 1055 17th Ave, Suite 104, Longmont, CO 80501-2680 | 2015-07-07 |
| 1609190032 | Caleb Roy Baker | Podiatrist | 1055 17th Ave, Suite 201, Longmont, CO 80501-2680 | 2010-03-14 |
| 1598821332 | Robert J Ahern | Dentist | 1055 17th Ave, Ste 202, Longmont, CO 80501-2680 | 2006-12-28 |
| 1235146176 | John T Bauman | Dentist | 1055 17th Ave, 92, Longmont, CO 80501-2680 | 2006-08-02 |
| 1144280462 | David Michael Rothbard | Dentist | 1055 17th Ave, Suite 93, Longmont, CO 80501-2680 | 2006-03-23 |
| 1457349664 | Todd Michael Roby | Dentist | 1055 17th Ave, Suite 203, Longmont, CO 80501-2680 | 2005-10-11 |
| 1942297148 | Jay Clinton Mills | Dentist | 1055 17th Ave, Suite 203, Longmont, CO 80501-2647 | 2005-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| 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 |
|---|---|---|---|---|
| 1962877795 | Longmont Modern Dentistry and Orthodontics, LLP | Dentist | 1234 S Hover St, 100, Longmont, CO 80501-7957 | 2015-12-04 |
| 1437530821 | Modern Dental Professionals Co PC | Dentist | 15 Ken Pratt Blvd Ste 280, Longmont, CO 80501-8656 | 2015-06-11 |
| 1649538778 | Joseph Remoura Ramos | Dentist | 1234 S Hover St Ste 100, Longmont, CO 80501-7962 | 2012-04-26 |
| 1063741643 | Susan Marie Kasper | Dentist | 1715 Princess Dr, Longmont, CO 80501-2039 | 2009-12-10 |
| 1134384696 | S. Brown & Associates | Dentist | 2051 Terry St Ste F, Longmont, CO 80501-1872 | 2008-07-24 |
| 1487825147 | Perfect Teeth - Pace P.C. | Dentist | 1631 Pace St, Unite # B-3, Longmont, CO 80501-3054 | 2008-03-20 |
| 1801087960 | Conrad Stutznegger | Dentist | 1750 Mountain View Ave, Longmont, CO 80501-3211 | 2007-08-05 |
| 1992911762 | David Scott Topham | Dentist | 1055 17th Ave Ste 202, Longmont, CO 80501-2647 | 2007-05-16 |
| 1386863587 | Thomas Palmer Drake | Dentist | 1246 Main St, Longmont, CO 80501-3824 | 2007-04-25 |
| 1265552541 | Aspen Dental Group LLC | Dentist | 1720 Duchess Drive, Longmont, CO 80501-2032 | 2007-03-30 |
| Find all providers in LONGMONT | ||||
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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.