SMILE 4 LIFE, P.C. (NPI# 1720210339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720210339 |
| Entity Type | Organization |
| Organization Name | SMILE 4 LIFE, P.C. |
| Other Organization Name | SMILE 4 LIFE DENTAL |
| Practice Address |
12253 E 104th Place Suite 105 Commerce City CO 80022 |
| Practice Telephone | 3038538000 |
| Practice Fax Number | 3032882219 |
| Mailing Telephone | 3038538000 |
| Mailing Fax Number | 3032882219 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2017-05-12 |
| Authorized Official Name | JENNIE MACUMBER (PRESIDENT) |
| Authorized Official Telephone | 3038299243 |
| Authorized Official Credential | R.D.H. |
| Is Organization Subpart | Y |
| Parent Organization Name | SMILE 4 LIFE, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | 903823 | CO | Dental Providers |
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Smile 4 Life Dental | Doing Business As Name - Organization |
| Street Address |
12253 E 104TH PLACE SUITE 105 |
| City | COMMERCE CITY |
| State | CO |
| Zip Code | 80022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245853944 | Angelica L. Seto, Dds, Pllc | Dentist | 4972 E. 62nd Ave, Ste B-1, Commerce City, CO 80022 | 2020-05-28 |
| 1467084129 | Tri-county Health Department | Clinic/Center | 7201 E. 72nd Ave., Commece City, CO 80022 | 2020-02-10 |
| 1750850772 | Commerce City Dental Partners Pllc | Dentist | 6091 Dexter Street, Commerce City, CO 80022 | 2018-11-20 |
| 1891218525 | Rita Manaugh | Registered Nurse | 16835 E 111th Drive, Commerce City, CO 80022 | 2017-07-25 |
| 1245780568 | Britt Bay LLC | Non-emergency Medical Transport (VAN) | 5400 Monroe, Denver, CO 80022 | 2016-10-11 |
| 1184170748 | Wallowa County Health Care District | Clinic/Center | 16351 E. 104th Place, Commerce City, CO 80022 | 2016-09-01 |
| 1023465523 | Ashley Rose Nichols | Registered Nurse | 9758 Laredo St #10b, Commerce City, CO 80022 | 2016-05-16 |
| 1417320623 | Perfect Teeth - Commerce City P.C. | Dentist | 15200 E. 104th Ave., Commerce City, CO 80022 | 2015-11-10 |
| 1144698739 | Tiffany Brimberry | Psychologist | 13611 E 104th Ave Unit 100, Commerce City, CO 80022 | 2015-09-13 |
| 1720485881 | Melissa Nelson | Counselor | 13653 East 104th Ave, Suite 150, Commerce City, CO 80022 | 2014-12-04 |
| Find all providers in zip 80022 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447814009 | Artemis Khazaie | Dentist | 4972 E 62nd Ave Unit B1, Commerce City, CO 80022-3253 | 2019-04-29 |
| 1528419025 | Paul Stavrakas | Dentist | 15200 E 104th Ave, Commerce City, CO 80022-9704 | 2016-06-26 |
| 1144543273 | Nestman Eng LLC | Dentist | 18335 E 103rd Ave, Suite 109, Commerce City, CO 80022-0658 | 2010-03-03 |
| 1912108960 | Reunion Dental Care, LLC | Dentist | 18240 E. 104th Ave, Suite 201, Commerce City, CO 80022-0660 | 2007-05-29 |
| 1265650246 | Lawrence M Willis Jr. | Dentist | 6537 E 72nd Pl, Commerce City, CO 80022-1704 | 2007-04-23 |
| 1811045057 | Douglas Jay Loveland | Dentist | 18240 East 104th Avenue, Suite 201, Commerce City, CO 80022 | 2007-01-06 |
| 1861485682 | James William Rodgers | Dentist | 7230 Locust St, Commerce City, CO 80022-1735 | 2005-08-26 |
| 1760827125 | Charanjit K Gill | Dentist | 6255 Quebec Pkwy, Commerce City, CO 80022-4812 | 2013-04-29 |
| 1689914061 | Brandon M. Braud, Dds, LLC | Dentist | 7230 Locust St, Commerce City, CO 80022-1735 | 2013-02-22 |
| 1821344698 | Brandon Michael Braud | Dentist | 7230 Locust St, Commerce City, CO 80022-1735 | 2012-07-31 |
| Find all providers in COMMERCE CITY | ||||
| City | COMMERCE CITY |
| Zip Code | 80022 |
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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.