COLORADO DENTAL PROFESSIONALS, LLC (NPI# 1578101200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578101200 |
| Entity Type | Organization |
| Organization Name | COLORADO DENTAL PROFESSIONALS, LLC |
| Practice Address |
8290 S Holly St Ste A Centennial CO 80122-4029 |
| Practice Telephone | 3037709901 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | TABATHA LEMKE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175406078 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLORADO DENTAL PROFESSIONALS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Heritage Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179521 | Colorado Dental Professionals, LLC | Dentist | 13075 Copperhead Trl, Parker, CO 80134-6243 | 2020-06-24 |
| 1306487053 | Colorado Dental Professionals, LLC | Dentist | 14823 W 91st Pl, Arvada, CO 80005-1454 | 2019-10-03 |
| 1962059931 | Colorado Dental Professionals, LLC | Dentist | 655 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3859 | 2019-08-23 |
| 1700449436 | Colorado Dental Professionals, LLC | Dentist | 904 Hailey Ln Ste A, Pueblo West, CO 81007-4456 | 2019-04-18 |
| 1689145609 | Colorado Dental Professionals, LLC | Dentist | 6726 S Revere Pkwy # A140, Centennial, CO 80112-3961 | 2018-12-17 |
| 1326553819 | Colorado Dental Professionals, LLC | Dentist | 2297 State Highway 7, Erie, CO 80516-8009 | 2017-12-06 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1477065506 | Colorado Dental Professionals, LLC | Dentist | 7520 Bierstadt Hts Ste 125, Falcon, CO 80831-6177 | 2017-10-30 |
| 1902265382 | Colorado Dental Professionals, LLC | Dentist | 12889 Quebec Street, Thornton, CO 80602 | 2016-02-15 |
| 1720171564 | Colorado Dental Professionals, LLC | Dentist | 6980 Mesa Ridge Parkway, Suite 200, Fountain, CO 80817 | 2006-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Colorado Dental Professionals, LLC | 1900 W. Littleton Blvd, Littleton, CO 80120 |
| Street Address |
8290 S HOLLY ST STE A |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80122-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982160933 | Alexandria Rodenbeek | Social Worker | Address: 7750 S Broadway #100, Littleton, CO 80122 | 2019-02-14 |
| 1306334495 | Dentists of Littleton, LLP | Dentist | 7330 S Broadway, Suite A130, Littleton, CO 80122 | 2018-04-25 |
| 1740789825 | Sarah Mccarthy | Social Worker | 5555 E. Arapahoe Rd., Arapahoe Medical Office, Centennial, CO 80122 | 2018-02-05 |
| 1447797105 | South Denver Musculoskeletal Surgical Partners, LLC | Clinic/Center | 300 E Mineral Ave Ste 9, Littleton, CO 80122 | 2017-01-19 |
| 1740645589 | Kristin Weller | Specialist/Technologist | 8117 S Franklin Ct, Centennial, CO 80122 | 2015-12-21 |
| 1831562024 | Vicki L. Earnshaw | Dental Hygienist | 7940 S. University Blvd., Suite 200, Centennial, CO 80122 | 2015-11-10 |
| 1194112847 | Mary Schroeter | Social Worker | 7950 S Lincoln St Ste 108, Littleton, CO 80122 | 2015-04-21 |
| 1568864981 | St Petro LLC | Assisted Living Facility | 7032 S Franklin St, Centennial, CO 80122 | 2014-09-17 |
| 1588009880 | Genesis Chiropractic Spine and Sports Center | Chiropractor | 7940 S University Blvd, Suite 100, Centennial, CO 80122 | 2013-05-01 |
| 1619218187 | Scott Richard Lapoint | Psychologist | 5161 E. Arapahoe Rd, Suite 415, Centennial, CO 80122 | 2013-03-08 |
| Find all providers in zip 80122 | ||||
| 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 |
|---|---|---|---|---|
| 1477177715 | Nathaniel Rivera | Dentist | 6950 S Holly Cir Ste 202, Centennial, CO 80112-7403 | 2020-06-02 |
| 1063053288 | Dylan Leto | Dentist | 19245 E Smoky Hill Rd Unit B, Centennial, CO 80015-3122 | 2019-09-30 |
| 1356859243 | Sridevi Kaul | Dentist | 6565 South Syracuse Way, Apartment 1908, Centennial, CO 80111-8011 | 2018-01-13 |
| 1922518208 | Peter Kim | Dentist | 15737 E Prentice Dr, Centennial, CO 80015-4264 | 2017-10-02 |
| 1841678414 | Gary G Wolfson, D.d.s. Pllc | Dentist | 14000 E Arapahoe Rd # C310, Centennial, CO 80112-4043 | 2015-05-14 |
| 1750728572 | Neda Karami | Dentist | 20709 E Euclid Dr, Centennial, CO 80016-3139 | 2013-06-03 |
| 1316280092 | Corbin Kevin Popp | Dentist | 9085 E Mineral Cir Ste 220, Centennial, CO 80112-3400 | 2013-04-01 |
| 1578874129 | Kathryn Buss | Dentist | 2330 E Arapahoe Rd Ste 900, Centennial, CO 80122-3299 | 2010-06-29 |
| 1194957415 | Southglenn Modern Dentistry, LLP | Dentist | 2330 E Arapahoe Rd, Suite 900, Centennial, CO 80122-1508 | 2009-08-20 |
| 1033349774 | Matthew Renner Wimmer | Dentist | 6690 S. Broadway, Centennial, CO 80121 | 2009-07-15 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80122 |
Please comment or provide details below to improve the information on COLORADO DENTAL PROFESSIONALS, LLC.
| 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.