MODERN DENTAL PROFESSIONALS CO PC (NPI# 1619358009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619358009 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS CO PC |
| Other Organization Name | BRIGHT NOW DENTAL - HIGHLANDS RANCH |
| Practice Address |
3626 E Highlands Ranch Pkwy Unit 107 Highlands Ranch CO 80126-7885 |
| Mailing Address |
Po Box 25153 Santa Ana CA 92799-5153 |
| Practice Telephone | 3034710841 |
| Practice Fax Number | 3034711706 |
| Mailing Telephone | 7145786358 |
| Mailing Fax Number | 9492422631 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |
| Authorized Official Name | DR. CRAIG MELLOR (PC OWNER) |
| Authorized Official Telephone | 3032092250 |
| 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 - Highlands Ranch | 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 |
| 1528449915 | Modern Dental Professionals Co PC | Dentist | 7611 W Colfax Ave Unit D, Lakewood, CO 80214-5424 | 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 |
| Street Address |
3626 E HIGHLANDS RANCH PKWY UNIT 107 |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip Code | 80126-7885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841468329 | Lindsey Lee Dortch | Dentist | 3626 E Highlands Ranch Pkwy Unit 107, Highlands Ranch, CO 80126-7885 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851866180 | Pediaclinic LLC | Pediatrics | 9555 South University Blvd, Unit B-2, Highlands Ranch, CO 80126 | 2018-10-13 |
| 1083126775 | Speech and Song for Extraordinary Kids, LLC | Speech-Language Pathologist | 8628 S. Forrest Drive, Highlands Ranch, CO 80126 | 2017-11-02 |
| 1629597042 | Great Play of Highlands Ranch | Community/Behavioral Health | 5690 E County Line Pl, Unit D, Highlands Ranch, CO 80126 | 2017-09-18 |
| 1174048003 | Uyen Hoang Le | Pharmacist | 9786 S Bexley Dr, Littleton, CO 80126 | 2017-08-11 |
| 1154841054 | Stephen Andrew Valente | Social Worker | 2465 Lansdowne Ct., Highlands Ranch, CO 80126 | 2017-06-21 |
| 1477080620 | Francine Elizabeth Becker | Counselor | 3011 Wyecliff Way, Highlands Ranch, CO 80126 | 2017-05-18 |
| 1851835789 | Xiaoyan Zhang | Nurse Practitioner | 9152 Kenwoo Ct, Highlands Ranch, CO 80126 | 2016-12-12 |
| 1942654207 | Shruti Gupta | Family Medicine | 9331 S. Colorado Blvd, Suite 200, Highlands Ranch, CO 80126 | 2016-04-22 |
| 1295194017 | Chad Waxman | Psychologist | 10674 Cherrington Street, Highlands Ranch, CO 80126 | 2016-02-22 |
| 1053726331 | Karenfowler Smith | Social Worker | 10640 S. Wildhurst Circle, Highlands Ranch, CO 80126 | 2014-06-25 |
| Find all providers in zip 80126 | ||||
| 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 |
|---|---|---|---|---|
| 1649805748 | Fit To Smile Dental Partners Pllc | Dentist | 4185 E Wildcat Reserve Pkwy Ste 300, Highlands Ranch, CO 80126-6802 | 2020-03-09 |
| 1962900175 | Krupa M Soni | Dentist | 10926 Brooklawn Rd, Highlands Ranch, CO 80130-6628 | 2018-01-23 |
| 1497014880 | Michael Joseph Lueck | Dentist | 10224 Willowbridge Way, Highlands Ranch, CO 80126-7875 | 2012-05-07 |
| 1841514387 | Redstone Dental Group, LLP | Dentist | 1165 Sgt Jon Stiles Dr, Highlands Ranch, CO 80129-2246 | 2010-03-25 |
| 1841468329 | Lindsey Lee Dortch | Dentist | 3626 E Highlands Ranch Pkwy Unit 107, Highlands Ranch, CO 80126-7885 | 2008-02-18 |
| 1750564860 | Daniel Dymerski Dds | Dentist | 66 Springer Dr Ste 304, Highlands Ranch, CO 80129-2308 | 2007-12-11 |
| 1518171933 | David Louis Sewell | Dentist | 10083 Astorbrook Ln, Highlands Ranch, CO 80126-7834 | 2007-05-09 |
| 1326252594 | Highlands Ranch Dental Center | Dentist | 9461 S University Blvd, Highlands Ranch, CO 80126-4976 | 2007-05-09 |
| 1306969423 | Brent Douglas Bailey | Dentist | 66 Springer Dr Ste 204, Highlands Ranch, CO 80129-2307 | 2007-04-06 |
| 1912028713 | Lynelle Zabel | Dentist | 9385 S Colorado Blvd Unit 102, Highlands Ranch, CO 80126-5241 | 2007-04-02 |
| Find all providers in HIGHLANDS RANCH | ||||
| City | HIGHLANDS RANCH |
| Zip Code | 80126 |
Please comment or provide details below to improve the information on MODERN DENTAL PROFESSIONALS CO PC.
| 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.