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SOUTHGLENN DENTAL CARE PC NPI 1144988957


NPI Information

NPI: 1144988957
Provider Name: SOUTHGLENN DENTAL CARE, PC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
6650 S VINE ST STE 200
CENTENNIAL, CO
ZIP 80121
Phone: (303) 797-3636
Get Directions

SOUTHGLENN DENTAL CARE, PC is an endodontics dentist in Centennial, CO. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. SOUTHGLENN DENTAL CARE, PC NPI is 1144988957. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6650 S VINE ST STE 200
CENTENNIAL, CO
ZIP 80121-763
Phone: (303) 797-3636

The provider's authorized official is Angela Eiswerth .
The authorized official title is Credentialing Manager and has the following contact phone number (770) 833-0994.

The enumeration date for this NPI number is 11/30/2021 and was last updated on 12/7/2021.


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
11223E0200XDentistEndodonticsYes
21223G0001XDentistGeneral PracticeNo

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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