MODERN DENTAL PROFESSIONALS CO PC (NPI# 1528449915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528449915 |
Entity Type | Organization |
Organization Name | MODERN DENTAL PROFESSIONALS CO PC |
Other Organization Name | BRIGHT NOW DENTAL - LAKEWOOD |
Practice Address |
7611 W Colfax Ave Unit D Lakewood CO 80214-5424 |
Mailing Address |
Po Box 25153 Santa Ana CA 92799-5153 |
Practice Telephone | 3032020900 |
Practice Fax Number | 3032020901 |
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 | 3034423434 |
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 - Lakewood | 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 |
1437530821 | Modern Dental Professionals Co PC | Dentist | 15 Ken Pratt Blvd Ste 280, Longmont, CO 80501-8656 | 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 |
7611 W COLFAX AVE UNIT D |
City | LAKEWOOD |
State | CO |
Zip Code | 80214-5424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982266128 | Audra Perez | Social Worker | 1750 Pierce Street Suite C, Lakewood, CO 80214 | 2019-07-08 |
1508347758 | Robin Noel Mackin | Speech-Language Pathologist | 2401 Lamar Street, Edgewater, CO 80214 | 2018-08-26 |
1932636065 | Tamika Thomas | Counselor | 950 Wadsworth Blvd Ste 203, Lakewood, CO 80214 | 2017-05-19 |
1902353568 | Holly Carpenter | Counselor | 1410 Vance St, Lakewood, CO 80214 | 2016-09-01 |
1285094672 | Danijela Jankovic | Dentist | 7611 W.colfax Avenue, Suite D, Lakewood, CO 80214 | 2016-02-29 |
1053784207 | Dale Kim | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214 | 2015-11-10 |
1164890604 | Kingston Dialysis LLC | Clinic/Center | 1750 Pierce St Ste A, Lakewood, CO 80214 | 2015-09-14 |
1558747923 | Hv Lakewood | Optometrist | 6695 W. Colfax Ave., Lakewood, CO 80214 | 2015-08-07 |
1265879498 | Diana M Arvizo | Occupational Therapy Assistant | 1685 Eaton St., Lakewood, CO 80214 | 2013-05-29 |
1528332731 | Jennifer Anderson | Physical Therapist | 5354 W 25th Ave, Edgewater, CO 80214 | 2012-03-06 |
Find all providers in zip 80214 |
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 |
---|---|---|---|---|
1699386706 | Westgate Family Dentistry | Dentist | 2323 S Wadsworth Blvd Ste 109, Lakewood, CO 80227-3254 | 2020-08-12 |
1467076034 | Cornelius Joseph Osullivan | Dentist | 13616 Madison Ave, Lakewood, OH 44107-4709 | 2020-05-30 |
1245870336 | My Local Colorado Dental Practice, LLC | Dentist | 264 Union Blvd Ste 200, Lakewood, CO 80228-1970 | 2020-01-07 |
1265082366 | Leong and Pandhoh Dental Corporation | Dentist | 2710 Carson St, Lakewood, CA 90712-4051 | 2019-09-19 |
1598319550 | Golnaz Sadat Samimifar | Dentist | 325 S Teller St Ste 280, Lakewood, CO 80226-7389 | 2019-07-29 |
1861044232 | Bryce Jeffrey Plancich | Dentist | 5726 100th St Sw, Lakewood, WA 98499-2730 | 2019-07-15 |
1578122628 | Marc Joseph Salme | Dentist | 386 E Fairmount Ave, Lakewood, NY 14750-2130 | 2019-06-12 |
1376023101 | Edward J Wang | Dentist | 5606 Lakewood Towne Center Blvd Sw Ste B, Lakewood, WA 98499-3894 | 2018-08-21 |
1740649839 | Justin Ford Becerra | Dentist | 2323 S Wadsworth Blvd Ste 1778, Lakewood, CO 80227-3274 | 2016-02-17 |
1740657378 | Timothy M. Schroeder Dds | Dentist | 6565 W Jewell Ave Ste 3, Lakewood, CO 80232-7102 | 2015-08-31 |
Find all providers in LAKEWOOD |
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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.