CHERRY CREEK MODERN DENTISTRY, LLP (NPI# 1508197732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508197732 |
Entity Type | Organization |
Organization Name | CHERRY CREEK MODERN DENTISTRY, LLP |
Other Organization Name | CHERRY CREEK MODERN DENTISTRY, LLP |
Practice Address |
1100 S Colorado Blvd Glendale CO 80246-3003 |
Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
Practice Telephone | 3037580575 |
Practice Fax Number | 3036485610 |
Mailing Telephone | 7143682077 |
Mailing Fax Number | 7143682092 |
Enumeration Date | 2010-01-28 |
Last Update Date | 2010-01-28 |
Authorized Official Name | DR. CHARLES F RODGERS (OWNER DOCTOR) |
Authorized Official Telephone | 3037580575 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
Other Name | Type Code |
---|---|
Cherry Creek Modern Dentistry, LLP | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Cherry Creek Modern Dentistry, LLP | 1100 S. Colorado Blvd., Glendale, CO 80246 |
Street Address |
1100 S COLORADO BLVD |
City | GLENDALE |
State | CO |
Zip Code | 80246-3003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427227297 | Douglas Raines Sewell | Dentist | 1100 S Colorado Blvd, Glendale, CO 80246-3003 | 2008-02-26 |
1902446842 | Zhou Chen | Dentist | 1100 S Colorado Blvd, Glendale, CO 80246-3003 | 2020-01-08 |
1841712197 | Taylor Cook | Dentist | 1100 S Colorado Blvd, Glendale, CO 80246-3003 | 2017-07-07 |
1831558048 | Scott Fincham | Dentist | 1100 S Colorado Blvd, Glendale, CO 80246-3003 | 2016-02-16 |
1881029668 | Taryn Ck Yee-paiva | Dentist | 1100 S Colorado Blvd, Glendale, CO 80246-3003 | 2013-09-11 |
1871934042 | Aleksander Andrzej Orlik | Dentist | 1100 S Colorado Blvd, Glendale, CO 80246-3003 | 2013-07-16 |
1720348832 | Laura Dumbell | Dentist | 1100 S Colorado Blvd, Glendale, CO 80246-3003 | 2012-05-22 |
1386911857 | Hamid Khanjari | Dentist | 1100 S Colorado Blvd, Glendale, CO 80246-3003 | 2011-11-28 |
1982853107 | Kelsey E Majors | Dentist | 1100 S Colorado Blvd, Glendale, CO 80246-3003 | 2008-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
Find all providers in zip 80246 |
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 |
---|---|---|---|---|
1427660422 | Joson Dental Corporation | Dentist | 1415 E Colorado St Ste C, Glendale, CA 91205-1577 | 2020-08-20 |
1558987271 | Edward Kelly Furlong | Dentist | 5400 W Northern Ave Ste 202, Glendale, AZ 85301-1591 | 2020-06-18 |
1578116380 | Krina Patel Mesuria | Dentist | 4545 W Beardsley Rd Apt 2083, Glendale, AZ 85308-5080 | 2019-07-20 |
1801455068 | Clayton Corbridge | Dentist | 20100 N 51st Ave Ste E550, Glendale, AZ 85308-5089 | 2019-06-11 |
1811454481 | Lucio H Kim Dds | Dentist | 620 E Glenoaks Blvd Ste A, Glendale, CA 91207-1769 | 2019-03-01 |
1902386634 | Arjun Bassin | Dentist | 7025 N 75th Ave Ste 101, Glendale, AZ 85303-2545 | 2018-08-21 |
1194216200 | Brandon Dawson | Dentist | 9455 W Glendale Ave, Glendale, AZ 85305 | 2018-05-24 |
1578062121 | Missagh Pezeshkian, D.d. S., A Professional Corporation | Dentist | 1016 E Broadway Ste 104, Glendale, CA 91205-4534 | 2018-02-09 |
1073037347 | Ian Phillip Bishop | Dentist | 6249 W Kristal Way, Glendale, AZ 85308-7661 | 2017-07-28 |
1801317391 | Christine Tran | Dentist | 18275 N 59th Ave Ste 128, Glendale, AZ 85308-1252 | 2017-07-05 |
Find all providers in GLENDALE |
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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.