MODERN DENTAL PROFESSIONALS CO PC (NPI# 1902287550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902287550 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL PROFESSIONALS CO PC |
| Other Organization Name | BRIGHT NOW DENTAL AURORA |
| Practice Address |
3551 S Tower Rd Unit C Aurora CO 80013-3564 |
| Mailing Address |
Po Box 25153 Santa Ana CA 92799-5153 |
| Practice Telephone | 3034003669 |
| Practice Fax Number | 3034003670 |
| Mailing Telephone | 7145786358 |
| Mailing Fax Number | 9492422631 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | DR. CRAIG MELLOR (PC OWNER) |
| Authorized Official Telephone | 3034003670 |
| 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 Aurora | 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 |
| 1619358009 | Modern Dental Professionals Co PC | Dentist | 3626 E Highlands Ranch Pkwy Unit 107, Highlands Ranch, CO 80126-7885 | 2015-06-11 |
| Street Address |
3551 S TOWER RD UNIT C |
| City | AURORA |
| State | CO |
| Zip Code | 80013-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023582202 | Udaya Bhasker Narayanaraopeta | Dentist | 3551 S Tower Rd Unit C, Aurora, CO 80013-3564 | 2019-01-21 |
| 1508350992 | Hammad Zaheer | Dentist | 3551 S Tower Rd Unit C, Aurora, CO 80013-3564 | 2018-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558901819 | Raeaje Austin | Non-emergency Medical Transport (VAN) | 2196 S Joplin Way, Aurora, CO 80013 | 2020-01-14 |
| 1164085114 | Luwam Tekle Asfha | Non-emergency Medical Transport (VAN) | 2667 S Lewiston St, Aurora, CO 80013 | 2019-04-16 |
| 1700324183 | Abdlkerim Idris | Non-emergency Medical Transport (VAN) | 3809 S Uravan St, Aurora, CO 80013 | 2017-02-06 |
| 1467908160 | Vanessa Andriott Aranda | Social Worker | 3431 S Genoa St, Aurora, CO 80013 | 2016-09-01 |
| 1326401100 | Bba Transportation | Non-emergency Medical Transport (VAN) | 2534 S. Fundy Cir., Aurora, CO 80013 | 2016-03-30 |
| 1013372770 | Yemane Aregawi | Contractor | 2780 S Ensenada Ct, Aurora, CO 80013 | 2015-12-23 |
| 1649642539 | Stephanie Boisvert | Physician Assistant | 18890 East Hamden Ave, Aurora, CO 80013 | 2015-10-30 |
| 1689042665 | Brittany Stone | Respiratory Therapist, Registered | 3810 S Ceylon Way, Aurora, CO 80013 | 2015-09-09 |
| 1487039657 | Wondemneh Alemneh Deresse | Non-emergency Medical Transport (VAN) | 19142 E, Hampden Dr, Aurora, CO 80013 | 2015-07-29 |
| 1225410855 | Biruk Hailu | Non-emergency Medical Transport (VAN) | 2520 S Flanders Ct, Aurora, CO 80013 | 2015-06-19 |
| Find all providers in zip 80013 | ||||
| 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 |
|---|---|---|---|---|
| 1710591342 | Station Dental Group, PC | Dentist | 14001 E Iliff Ave Ste 104, Aurora, CO 80014-1424 | 2020-09-01 |
| 1063030427 | Pacific Smiling Dental P.C. | Dentist | 4370 E New York St, Aurora, IL 60504-4121 | 2020-07-10 |
| 1245856244 | Aurora Family Dentistry LLC | Dentist | 13700 E Colfax Ave Unit M, Aurora, CO 80011-6847 | 2020-06-25 |
| 1033733423 | Weber Family Dentistry Pllc | Dentist | 2501 Dallas St Ste 224, Aurora, CO 80010-1036 | 2020-06-02 |
| 1457970600 | Mesmariland Pllc | Dentist | 18801 E Hampden Ave Ste 178, Aurora, CO 80013-3587 | 2020-04-08 |
| 1780233122 | Rachel Catalano | Dentist | 185 New Castle Dr Apt 23-185, Aurora, OH 44202-6731 | 2019-09-09 |
| 1063061703 | Ohio Dental Professionals, Delisle, P.C. | Dentist | 485 N Aurora Rd, Aurora, OH 44202-8721 | 2019-09-05 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1588123079 | Hope Dental P.C. | Dentist | 2418 W Indian Trl Ste E, Aurora, IL 60506-1590 | 2019-03-14 |
| Find all providers in AURORA | ||||
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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.