DENTAL MANAGEMENT (NPI# 1679905665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679905665 |
| Entity Type | Organization |
| Organization Name | DENTAL MANAGEMENT |
| Other Organization Name | ORAL SURGERY CENTER |
| Practice Address |
2220 East 104th Avenue Suite 116 Thornton CO 80233 |
| Practice Telephone | 3033440810 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | ASHRAF SEDHOM (PRESIDENT) |
| Authorized Official Telephone | 3033440810 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6616 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02066165 | 05 |
| Other Name | Type Code |
|---|---|
| Oral Surgery Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DENTAL MANAGEMENT ASSOCIATES INC. | |
| Colorado Business Entities | DENTAL MANAGEMENT ASSOCIATIES, LLC | 5353 Manhattan Cir Ste 101, Boulder, CO 80303 |
| Indiana Business Entities | DENTAL MANAGEMENT CONSULTING CORPORATION | 515 E Monroe, South Bend, IN 46601 |
| Virginia Business Entities | DENTAL MANAGEMENT DIRECTIONS INC. | |
| North Carolina Corporations | Dental Management Holdings LLC | 2222 Sedwick Road, Durham, NC 27713 |
| Oregon Corporations, Companies and Business Names | DENTAL MANAGEMENT INCORPORATED | 1925 Bailey Hill Rd, Suite A, Eugene, OR 97405 |
| Colorado Business Entities | dental management llc | 1714 North Circle Drive, Colorado Springs, CO 80909 |
| North Carolina Corporations | Dental Management Operations LLC | 2222 Sedwick Road, Durham, NC 27713 |
| Washington State Corporations | DENTAL MANAGEMENT SERVICES, INC. | 100 W Harrison St Ste S440, Seattle, WA 98119-4116 |
| Oregon Corporations, Companies and Business Names | DENTAL MANAGEMENT SERVICES, INC. | 100 W Harrison St Suite S440 South Tower, Seattle, WA 98119 |
| Street Address |
2220 EAST 104TH AVENUE SUITE 116 |
| City | THORNTON |
| State | CO |
| Zip Code | 80233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018232 | Kantor Dental Group 2, Pllc | Clinic/Center | 11979 Holly St, Thornton, CO 80233 | 2019-02-06 |
| 1841789799 | Alicia Carol | Music Therapist | 3750 E 107th Ave, Thornton, CO 80233 | 2018-05-07 |
| 1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
| 1205354842 | Ishtar Khan | Registered Nurse | 11064 Clayton Street, Northglenn, CO 80233 | 2017-09-05 |
| 1649727702 | Beth Hale | Counselor | 1104 Eudora Circle, Thornton, CO 80233 | 2016-09-07 |
| 1376090977 | Audrey Holland | Registered Nurse | 2965 East 109th Avenue, Specialty Foot Care LLC, Northglenn, CO 80233 | 2016-09-01 |
| 1962958223 | Northglenn Endoscopy Center LLC | Clinic/Center | 11900 Grant Street, #320, Northglenn, CO 80233 | 2016-08-28 |
| 1518349141 | Ashley Makelky | Registered Nurse | 11427 Cook Court, Denver, CO 80233 | 2015-06-19 |
| 1992115497 | Northglenn Smiles Dentistry and Orthodontics, LLP | Dentist | 100 E 120th Avenue, Unit C130, Northglenn, CO 80233 | 2014-05-06 |
| 1053744136 | Dominic Evan Philpott | Dentist | 10780 N. Washington Ave., Northglenn, CO 80233 | 2013-08-13 |
| Find all providers in zip 80233 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538228580 | Michael Allan Burnham | Dentist | 300 E 128th Ave, Thornton, CO 80241-2427 | 2006-12-06 |
| 1841844479 | Colorado Dental Specialist Practice, LLC | Dentist | 3955 E 120th Ave Ste B, Thornton, CO 80233-2075 | 2019-07-31 |
| 1801228606 | Nelson and Rollert Associates In Oral and Maxillofacial Surgery Prof | Dentist | 2750 E 136th Ave, Suite 101, Thornton, CO 80241-3432 | 2013-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071189 | Oms Associates Colorado PC | Dentist | 755 Maleta Ln Ste A, Castle Rock, CO 80108-7610 | 2020-10-26 |
| 1346849866 | Oms Associates Colorado PC | Dentist | 1755 Telstar Dr Ste 210, Colorado Springs, CO 80920-1018 | 2020-10-26 |
| 1740889260 | Oms Associates Colorado PC | Dentist | 10219 Parkglenn Way Ste 201, Parker, CO 80138-3875 | 2020-10-26 |
| 1386266070 | Blue Sky Oms P.C. | Dentist | 1707 61st Ave Ste 102, Greeley, CO 80634-7997 | 2020-05-15 |
| 1679121404 | James W Makowski Dds PC | Dentist | 1220 S Parker Rd Ste 104, Denver, CO 80231-2166 | 2019-08-26 |
| 1528553070 | Comfort Dental Oral Surgery Colorado Springs LLC | Dentist | 556 W. Hwy 105, Monument, CO 80132 | 2018-06-27 |
| 1689167280 | Cheyenne Mountain Oral Surgery PC | Dentist | 640 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3884 | 2018-06-08 |
| 1932692589 | Glendale Oral Surgery PC | Dentist | 3955 E Exposition Ave Ste 520, Denver, CO 80209-5030 | 2018-06-08 |
| 1790292431 | Alix Greenman | Dentist | 6179 S Balsam Way Ste 100, Littleton, CO 80123-3092 | 2018-01-03 |
| 1467967307 | Boulder Oral Surgery | Dentist | 3450 Penrose Pl Ste 120, Boulder, CO 80301-1800 | 2017-12-13 |
| Find all providers with the same taxonomy | ||||
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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.