Provider Type Icon

CHEROKEE TRAILS DENTAL CARE LLC NPI 1629112719


NPI Information

NPI: 1629112719
Provider Name: CHEROKEE TRAILS DENTAL CARE, LLC

Doing Business As: CHEROKEE TRAIL DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
24112 E ORCHARD RD
BUILDING LF-09
AURORA, CO
ZIP 80016
Phone: (303) 457-5288
Get Directions

CHEROKEE TRAILS DENTAL CARE, LLC is a general practice dentist in Aurora, 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. CHEROKEE TRAILS DENTAL CARE, LLC NPI is 1629112719. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Cherokee Trail Dental Care.

The provider's business location address is:

24112 E ORCHARD RD
BUILDING LF-09
AURORA, CO
ZIP 80016-349
Phone: (303) 457-5288
Fax: (216) 584-1351

The provider's authorized official is Rachel Nittinger .
The authorized official title is Manager Credentialing and has the following contact phone number (972) 755-0816.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 3/20/2018.


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
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeYes
41223P0221XDentistPediatric DentistryNo
51223P0300XDentistPeriodonticsNo
61223P0700XDentistProsthodonticsNo
71223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.