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HIGHLANDS RANCH DENTAL PROFESSIONAL LLC NPI 1053713198


NPI Information

NPI: 1053713198
Provider Name: HIGHLANDS RANCH DENTAL, PROFESSIONAL LLC

Doing Business As: HIGHLANDS RANCH DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9385 S COLORADO BLVD
SUITE 102
HIGHLANDS RANCH, CO
ZIP 80126
Phone: (720) 439-2984
Get Directions

HIGHLANDS RANCH DENTAL, PROFESSIONAL LLC is a general practice dentist in Highlands Ranch, CO. The provider is 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. HIGHLANDS RANCH DENTAL, PROFESSIONAL LLC NPI is 1053713198. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Highlands Ranch Dental Group.

The provider's business location address is:

9385 S COLORADO BLVD
SUITE 102
HIGHLANDS RANCH, CO
ZIP 80126-299
Phone: (720) 439-2984

The provider's authorized official is Lynne Midgley .
The authorized official title is Associate and has the following contact phone number (720) 439-2984.

The enumeration date for this NPI number is 9/19/2014 and was last updated on 9/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics7835COLORADONo
21223P0300XDentistPeriodontics7835COLORADONo
31223S0112XDentistOral and Maxillofacial Surgery7835COLORADONo
41223X0400XDentistOrthodontics and Dentofacial Orthopedics7835COLORADONo
51223G0001XDentistGeneral Practice7835COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17835OTHERCOLORADOSTATE OF COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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