M.S.D. ENDODONTICS, P.C. (NPI# 1598859662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598859662 |
Entity Type | Organization |
Organization Name | M.S.D. ENDODONTICS, P.C. |
Other Organization Name | ROCKY MOUNTAIN PRECISION ENDODONTICS |
Practice Address |
12297 Pennsylvania St Suite 2 Thornton CO 80241-3165 |
Practice Telephone | 3039204196 |
Practice Fax Number | 3039204198 |
Mailing Telephone | 3039204196 |
Mailing Fax Number | 3039204198 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. MATTHEW S DAVIS (PRESIDENT/OWNER) |
Authorized Official Telephone | 3039204196 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
6963 | CO | Dental Providers |
Other Name | Type Code |
---|---|
Rocky Mountain Precision Endodontics | Doing Business As Name - Organization |
Street Address |
12297 PENNSYLVANIA ST SUITE 2 |
City | THORNTON |
State | CO |
Zip Code | 80241-3165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730555657 | Amanda Sejna | Physical Therapist | 12297 Pennsylvania St, Thornton, CO 80241-3165 | 2015-08-14 |
1558764944 | Brittany Souder | Physical Therapist | 12297 Pennsylvania St, Suite 3, Thornton, CO 80241-3165 | 2014-09-30 |
1225430606 | Connor Van Bavel | Physical Therapist | 12297 Pennsylvania St, Suite 3, Thornton, CO 80241-3165 | 2014-09-17 |
1275953721 | Kathryn Corinne Newsom | Physical Therapist | 12297 Pennsylvania St, Suite 3, Thornton, CO 80241-3165 | 2014-04-23 |
1871844407 | Kelly Bergkessel | Physical Therapist | 12297 Pennsylvania St, Suite #3, Thornton, CO 80241-3165 | 2012-09-22 |
1356654826 | Anita Maria Mueller | Physical Therapist | 12297 Pennsylvania St, Suite 3, Thornton, CO 80241-3165 | 2010-07-26 |
1568693141 | Alison Marie Dooling | Physical Therapist | 12297 Pennsylvania St, #3, Thornton, CO 80241-3165 | 2009-07-31 |
1104081801 | Juliana Doyle Remer | Physical Therapist | 12297 Pennsylvania St, Suite 3, Thornton, CO 80241-3165 | 2008-07-22 |
1629261128 | Jill M Liszka | Physical Therapist | 12297 Pennsylvania St, Thornton, CO 80241-3165 | 2007-08-20 |
1417157439 | Samantha Michelle Hovel | Physical Therapist | 12297 Pennsylvania St, Suite 3, Thornton, CO 80241-3165 | 2007-07-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437787991 | Melanie Tyler | Counselor | 12301 Pennsylvania, Suite 101, Thornton, CO 80241 | 2020-03-31 |
1487218699 | Diane Marie Hansen | Counselor | 491 E 133rd Way, Thornton, CO 80241 | 2019-04-24 |
1164979712 | James Brannan | Contractor | 13364 Birch Court, Thornton, CO 80241 | 2016-09-01 |
1083925200 | Keralee Vought | Social Worker | 12015 Grape St, Thornton, CO 80241 | 2010-06-23 |
1770767675 | Charles E Januschka | Chiropractor | 3953b E 120th Ave, Thornton, CO 80241 | 2007-12-27 |
1407928724 | Erica A Derby | Dentist | 2800 East 136th Avenue, Thornton, CO 80241 | 2006-11-14 |
1558445361 | Carolyn Watt Mauterer | Dentist | 2800 E 136th Ave, Thornton, CO 80241 | 2006-10-25 |
1215046842 | Adams 12 Five Star Schools | Local Education Agency (LEA) | 1500 E 128th Avenue, Adams 12 Five Star Schools C/o Sandra Sellstrom, Thornton, CO 80241 | 2006-08-29 |
1366932162 | University of Colorado Hospital Authority | Clinic/Center | 12020 Colorado Blvd, Thornton, CO 80241 | 2018-05-16 |
1376077438 | Spencer Del Moral | Student in an Organized Health Care Education/Training Program | 4075 E 128th Ave, Thornton, CO 80241 | 2017-04-16 |
Find all providers in zip 80241 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972000933 | Rocky Mountain Root Canal Specialist, Pllc | Dentist | 13762 Colorado Blvd Unit 154, Thornton, CO 80602-6919 | 2018-04-06 |
1407400039 | Colorado Dental Specialist Practice, LLC | Dentist | 2800 E 136th Ave, Thornton, CO 80241-3417 | 2019-07-31 |
1013001171 | Matthew S Davis | Dentist | 12297 Pennsylvania St, Suite 2, Thornton, CO 80241-3165 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093329047 | Front Range Endodontics, Pllc | Dentist | 2116 Hollow Brook Dr Ste 200, Colorado Springs, CO 80918-1790 | 2020-09-06 |
1205448107 | Avos Dental Specialists, Pllc | Dentist | 14769 W 87th Pkwy, Arvada, CO 80005-1454 | 2020-08-20 |
1003433251 | Ridgegate Endodontics, Pllc | Dentist | 10107 Ridgegate Pkwy # G020, Lone Tree, CO 80124-5637 | 2020-07-02 |
1518511146 | Colorado Dental Specialist Practice, LLC | Dentist | 18121 E Hampden Ave Unit E, Aurora, CO 80013-3591 | 2019-07-31 |
1447803382 | Jj Elevation, Pllc | Dentist | 10012 Coyote Song Ter, Colorado Springs, CO 80924-4504 | 2019-07-19 |
1992363444 | Ccdi Parker Pdc Pllc | Dentist | 10841 Crossroads Dr Ste 9, Parker, CO 80134-9090 | 2019-05-30 |
1134786403 | Safer,carr and Sachs, Dds,pc | Dentist | 155 Cook St Ste 301, Denver, CO 80206-5317 | 2019-05-22 |
1013573815 | Ccdi Denver Pdc Pllc | Dentist | 1573 S Broadway, Denver, CO 80210-2607 | 2019-05-16 |
1992279384 | Jared Smith, Professional LLC | Dentist | 17 County Road 68, Bailey, CO 80421 | 2019-01-18 |
1134633563 | Castle Rock Endodontics, Pllc | Dentist | 753 Maleta Ln Ste 201, Castle Rock, CO 80108-7609 | 2017-11-21 |
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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.