ON-SITE DENTIST LLC NPI 1366960775

NPI Information

  • NPI: 1366960775
  • Provider Name: ON-SITE DENTIST, LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 10734 E BERRY AVE
    ENGLEWOOD, CO
    ZIP 80111
  • Phone: (719) 821-2237

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NPI Details

ON-SITE DENTIST, LLC is a general practice dentist in Englewood, 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. ON-SITE DENTIST, LLC NPI is 1366960775. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10734 E BERRY AVE
ENGLEWOOD, CO
ZIP 80111-972
Phone: (719) 821-2237

The provider's authorized official is Tyson Pechek .
The authorized official title is Director Of Dentistry and has the following contact phone number (719) 821-2237.

The enumeration date for this NPI number is 9/6/2017 and was last updated on 10/10/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice9163COLORADOYes

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: 11/21/2025

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