MODERN DENTAL PROFESSIONALS CO PC (NPI# 1437530821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437530821 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS CO PC |
| Other Organization Name | BRIGHT NOW DENTAL - LONGMONT |
| Practice Address |
15 Ken Pratt Blvd Ste 280 Longmont CO 80501-8656 |
| Mailing Address |
Po Box 25153 Santa Ana CA 92799-5153 |
| Practice Telephone | 3036781155 |
| Practice Fax Number | 3036785588 |
| Mailing Telephone | 7145786358 |
| Mailing Fax Number | 9492422631 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |
| 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 - Longmont | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164803276 | Modern Dental Professionals Co PC | Dentist | 11183 S Parker Rd Unit C, Parker, CO 80134-4905 | 2015-06-15 |
| 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 |
| 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 |
15 KEN PRATT BLVD STE 280 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-8656 |
| 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 |
| 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 |
| 1427175942 | Andrew Joseph Ranucci | Dentist | 515 Main St Unit B, Longmont, CO 80501-5580 | 2007-03-22 |
| 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.