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SOUTHLANDS ENDODONTICS PC NPI 1205030319


NPI Information

NPI: 1205030319
Provider Name: SOUTHLANDS ENDODONTICS, PC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
6240 S MAIN ST STE 285
AURORA, CO
ZIP 80016
Phone: (303) 366-7668
Get Directions

SOUTHLANDS ENDODONTICS, PC is an endodontics dentist in Aurora, 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. SOUTHLANDS ENDODONTICS, PC NPI is 1205030319. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6240 S MAIN ST STE 285
AURORA, CO
ZIP 80016-321
Phone: (303) 366-7668
Fax: (303) 366-7669

The provider's authorized official is Scott Isaac Whitney .
The authorized official title is Endodontist and has the following contact phone number (303) 397-7668.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 8/22/2020.


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
11223E0200XDentistEndodonticsDEN8212COLORADOYes

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
1DEN8212OTHERCOLORADODENTIST LICENSE

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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