JILL K. MIODUSKI, DDS, MS, PROFESSIONAL LLC


Address: 1295 Main St, #4, Windsor, CO 80550-5966
Phone: 9706740717

JILL K. MIODUSKI, DDS, MS, PROFESSIONAL LLC (NPI# 1598040578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598040578
Entity Type Organization
Organization Name JILL K. MIODUSKI, DDS, MS, PROFESSIONAL LLC
Other Organization Name NORTHERN COLORADO ORTHODONTICS
Practice Address 1295 Main St
#4
Windsor
CO 80550-5966
Practice Telephone 9706740717
Mailing Telephone 9706740717
Enumeration Date 2011-10-20
Last Update Date 2011-10-20
Authorized Official Name JILL K MIODUSKI (OWNER/ORTHODONTIST)
Authorized Official Telephone 9706740717
Authorized Official Credential DDS, MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
10178 CO Dental Providers

Other Provider/Organization Names

Other Name Type Code
Northern Colorado Orthodontics Doing Business As Name - Organization

Office Location

Street Address 1295 MAIN ST
#4
City WINDSOR
State CO
Zip Code 80550-5966

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457486169 Althoff Family Chiropractic PC Chiropractor 1295 Main St, Unit 1, Windsor, CO 80550-5966 2007-02-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881294502 Beyond Milestones Occupational Therapy, LLC Occupational Therapist 1021 Canal Dr, Windsor, CO 80550 2020-10-30
1114422706 Noco Healing Homes LLC Home Health 541 Garden Drive, Unit O, Suite 100, Windsor, CO 80550 2018-03-27
1629592803 Karly Yingst Nurse Practitioner 1516 Morning Glow Dr, Windsor, CO 80550 2017-07-31
1053766469 Mary Jennifer Lewis Counselor 1473 Moraine Valley Dr, Severance, CO 80550 2016-05-04
1225413461 Joshua Chad Kelly Dentist 375 W 4th Ave, Severance, CO 80550 2015-07-29
1861896169 Tamara Percifield Dental Hygienist 651 Babine Ct, Windsor, CO 80550 2014-10-15
1740541952 Tender Hearts Home Healthcare, LLC Home Health 201 10th Street, Windsor, CO 80550 2012-06-04
1831474931 Occupational Health Centers of The Southwest Pa PC Clinic/Center 9299 Eastman Park Drive, Windsor, CO 80550 2011-10-20
1366736357 Brandon Lars Nielson Dentist 1297 Main St., Suite3, Windsor, CO 80550 2011-06-07
1255661096 Duy Duy Thuc Tran Physician Assistant 1455 Main St Ste 150, Windsor, CO 80550 2009-12-29
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780768382 Joyce Yu Chang Dentist 8886 Lakewood Dr, Windsor, CA 95492 2006-10-24
1326472119 Janel L. Johnson Dentist 250 Lamberton Rd, Windsor, CT 06095-2129 2013-08-28
1104163815 Rael Bernstein Dds Apc Dentist 8741 Brooks Rd S, Windsor, CA 95492 2013-01-15
1639222961 Robert Joseph Gange Dentist 62 Bloomfield Ave, Windsor, CT 06095-2808 2007-01-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750996641 Simko Orthodontics of Colorado, PC Dentist 6850 E Hampden Ave Ste 201, Denver, CO 80224-3024 2020-09-09
1457977407 Ingrid De La Torre Dentist 16533 E 49th Ave Apt 208, Denver, CO 80239-5884 2020-06-24
1205450525 David Wayne Hamula Dentist 1860 Woodmoor Dr Ste 200, Monument, CO 80132-9073 2020-06-02
1285260927 Johnson Orthodontics Dentist 5850 Tutt Center Pt Ste 100, Colorado Springs, CO 80922-3520 2020-03-13
1003441049 Johnson Orthodontics Dentist 15435 Gleneagle Dr Ste 210, Colorado Springs, CO 80921-2542 2020-03-10
1396379012 Ascend Group Pllc Dentist 700 W Eisenhower Blvd Ste 100&110, Loveland, CO 80537-3105 2020-03-03
1720619497 Irina Sharp Dentist 2200 E 104th Ave Ste 112, Thornton, CO 80233-4402 2020-01-30
1871124651 Jeffrey L Collins Dds PC Dentist 19700 E Parker Square Dr Ste C, Parker, CO 80134-7300 2020-01-30
1740829290 Charles F Reed Dds Ms PC Dentist 20971 E Smoky Hill Rd Ste 200, Centennial, CO 80015-5187 2020-01-02
1790324770 Pine Top Orthodontics PC Dentist 9475 Briar Village Pt Ste 315, Colorado Springs, CO 80920-7905 2019-12-23
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Competitor

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City WINDSOR
Zip Code 80550

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Dataset Information

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.

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