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LONE TREE MODERN DENTAL PROFESSIONAL NPI 1396147492


NPI Information

NPI: 1396147492
Provider Name: LONE TREE MODERN DENTAL, PROFESSIONAL

Doing Business As: LONE TREE MODERN DENTAL AND ORTHODONTICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9227 E LINCOLN AVE
SUITE #800
LONE TREE, CO
ZIP 80124
Phone: (720) 943-2153
Get Directions

LONE TREE MODERN DENTAL, PROFESSIONAL is a general practice dentist in Lone Tree, 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. LONE TREE MODERN DENTAL, PROFESSIONAL NPI is 1396147492. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lone Tree Modern Dental And Orthodontics.

The provider's business location address is:

9227 E LINCOLN AVE
SUITE #800
LONE TREE, CO
ZIP 80124-506
Phone: (720) 943-2153

The provider's authorized official is Amanda Hallinan .
The authorized official title is Associate and has the following contact phone number (720) 943-2153.

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
11223E0200XDentistEndodontics201999COLORADONo
21223P0300XDentistPeriodontics201999COLORADONo
31223S0112XDentistOral and Maxillofacial Surgery201999COLORADONo
41223X0400XDentistOrthodontics and Dentofacial Orthopedics201999COLORADONo
51223G0001XDentistGeneral Practice201999COLORADOYes

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
1201999OTHERCOLORADOSTATE 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: 4/28/2024

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