CONVENIENT DENTAL SPECIALISTS BENNETT PLLC (NPI# 1932727732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932727732 |
| Entity Type | Organization |
| Organization Name | CONVENIENT DENTAL SPECIALISTS BENNETT PLLC |
| Practice Address |
280 E Colfax Ave Bennett CO 80102-5003 |
| Mailing Address |
Po Box 514 Bennett CO 80102-0514 |
| Mailing Telephone | 8015806877 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | DR. JOHN PATRICK EVANSON (OWNER) |
| Authorized Official Telephone | 8015806877 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Convenient Dental Specialists Bennett PLLC | 280 E Colfax, Bennett, CO 80102 |
| Street Address |
280 E COLFAX AVE |
| City | BENNETT |
| State | CO |
| Zip Code | 80102-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558789875 | Bennett Dental Center LLC | Clinic/Center | 280 E Colfax Ave, Unit 1, Bennett, CO 80102-0514 | 2014-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386296721 | Dream Big Therapy LLC | Occupational Therapist | 930 S County Rd 121, Bennett, CO 80102 | 2019-07-16 |
| 1376073635 | Anne Marie Bielinski | Dentist | 280 E. Colfax Ave, Suite 1, Bennett, CO 80102 | 2017-06-19 |
| 1336543198 | Jason Stott Dds Professional LLC | Dentist | 280 East Colfax Avenue, Bennett, CO 80102 | 2014-10-22 |
| 1710179296 | Dillon Companies LLC | Pharmacy | 1045 S 1st St, Bennett, CO 80102 | 2007-08-17 |
| 1194883744 | Aaron Degarmo | Dentist | 280 Colfax Ave., Unit 1, Bennett, CO 80102 | 2006-12-05 |
| 1922171370 | Paul Christian Avery | Dentist | 280 Colfax, Bennett, CO 80102 | 2006-11-15 |
| 1588840169 | Michelle Roberts | Psychologist | 400 Market St., Camden, NJ 80102 | 2008-01-14 |
| 1497766802 | Bennett Fire Protection District 7 | Ambulance | 355 4th St, Bennett, CO 80102-7806 | 2006-08-10 |
| 1811537004 | Bennett Fire Protection District 7 | Ambulance | 355 4th St, Bennett, CO 80102-7806 | 2020-01-15 |
| 1164738654 | Center for Developmental & Behavioral Therapy, LLC | Community/Behavioral Health | 475 Palmer Ave, Bennett, CO 80102-7837 | 2010-08-23 |
| Find all providers in zip 80102 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on CONVENIENT DENTAL SPECIALISTS BENNETT PLLC.
| 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.