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ADVANCED DENTAL HEALTH NPI 1366829830


NPI Information

NPI: 1366829830
Provider Name: ADVANCED DENTAL HEALTH
Classification: Dentist - 122300000X
Entity Type: Organization

CLIA Number: 06D2123836

Address:
6979 S HOLLY CIRCLE #185
CENTENNIAL, CO
ZIP 80112
Phone: (303) 771-0225
Get Directions

ADVANCED DENTAL HEALTH is a dentist in Centennial, CO. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. ADVANCED DENTAL HEALTH NPI is 1366829830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6979 S HOLLY CIRCLE #185
CENTENNIAL, CO
ZIP 80112
Phone: (303) 771-0225
Fax: (303) 773-3726

The provider's authorized official is Patrick T Prendergast .
The authorized official title is Dentist and has the following contact phone number (303) 771-0225.

The CLIA number assigned to this NPI record is 06D2123836 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2015 and was last updated on 5/4/2015.


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
1122300000XDentist105175COLORADOYes

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
11417036757OTHERCOLORADOINDIVUAL PROVIDER NPI

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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