DR. LACEY E BOWEN (NPI# 1578000105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578000105 |
| Entity Type | Individual |
| Full Name | DR. LACEY E BOWEN |
| Credential | DDS |
| Practice Address |
5600 W 44th Ave Ste 200 Denver CO 80212-7339 |
| Mailing Address |
2298 W 28th Ave Apt 416 Denver CO 80211-4466 |
| Practice Telephone | 3034210063 |
| Mailing Telephone | 7152185223 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
203101 | CO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1575 Wheeling St, Childrens Hospital Dental Clinic, Aurora, CO 800457228 | 7207776788 |
| Street Address |
5600 W 44TH AVE STE 200 |
| City | DENVER |
| State | CO |
| Zip Code | 80212-7339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609157171 | Shaheen M Moezzi | Dentist | 5600 W 44th Ave Ste 200, Denver, CO 80212-7339 | 2011-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407382 | Mary Emma Fawcett | Counselor | Tennyson Center for Children, 2950 Tennyson St, Denver, CO 80212 | 2020-08-10 |
| 1205391422 | Carly Boeselt | Counselor | 5226 Tennyson St, Denver, CO 80212 | 2019-02-01 |
| 1639656176 | Amanda Jane Miller | Massage Therapist | 4433 West 29th Avenue, Suite 203, Denver, CO 80212 | 2018-07-27 |
| 1821587908 | Jolene Lyn Nawrocki | Nurse Practitioner | 5790 W 39th Place, Wheat Ridge, CO 80212 | 2018-05-04 |
| 1679078810 | Rachel Holder | Social Worker | 2905 Tennyson Street, Denver, CO 80212 | 2018-03-29 |
| 1497260723 | Timothy Mullins | Marriage & Family Therapist | 5100 Osceola St, Denver, CA 80212 | 2017-12-08 |
| 1619402757 | Alexis Lowe | Marriage & Family Therapist | 2700 Perry St, Denver, CO 80212 | 2017-04-26 |
| 1578962858 | Brandon Visscher | Dentist | 4277 Tennyson St Ste 102, Denver, CO 80212 | 2014-08-22 |
| 1558778712 | Kerri Mckee | Physician Assistant | 4500 W. 38th Ave, Suite 220, Denver, CO 80212 | 2014-07-18 |
| 1366889859 | John Fricas Sander | Counselor | 4150 Quitman Street, Denver, CO 80212 | 2013-05-24 |
| Find all providers in zip 80212 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043842453 | Highlands Pediatric Dentistry | Dentist | 3141 Irving St Unit 200, Denver, CO 80211-3654 | 2020-02-04 |
| 1174163711 | J Patrick Bowman Dmd Pllc | Dentist | 1280 S Pearl St, Denver, CO 80210-1538 | 2020-01-12 |
| 1487211124 | Rebecca Goldberg, Dds, Pllc | Dentist | 2975 Roslyn St Unit 160, Denver, CO 80238-3326 | 2019-05-28 |
| 1881089282 | Craig Owens | Dentist | 1407 W 84th Ave # Sutiteb8, Denver, CO 80260-4781 | 2015-04-02 |
| 1811321300 | Lowry Pediatric Dental Health | Dentist | 8111 E Lowry Blvd Ste 200, Denver, CO 80230-7255 | 2013-09-03 |
| 1487091443 | Derek Stephen Owens | Dentist | 3255 Locust St., Denver, CO 80207 | 2013-05-31 |
| 1770817793 | Malcolm Strange Dds | Dentist | 1963 S Federal Blvd, Denver, CO 80219-5509 | 2009-09-23 |
| 1891922258 | Elizabeth Diana Crespi | Dentist | 3650 E 1st Ave, Denver, CO 80206-5500 | 2009-06-12 |
| 1093975666 | Kelsey Dorine Snavely Akin | Dentist | 4383 Tennyson St Unit 1-f, Denver, CO 80212-2315 | 2008-06-16 |
| 1467611517 | Timothy Daniel Nichols | Dentist | 4383 Tennyson St, 1f, Denver, CO 80212-2363 | 2008-06-04 |
| Find all providers in DENVER | ||||
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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.