Provider Type Icon

CRESTLINE DENTAL GROUP AND ORTHODONTICS LLP NPI 1740433762


NPI Information

NPI: 1740433762
Provider Name: CRESTLINE DENTAL GROUP AND ORTHODONTICS, LLP

Doing Business As: CRESTLINE DETNAL GROUP AND ORTHODONTICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5392 S WADSWORTH BLVD
UNIT 103
LAKEWOOD, CO
ZIP 80123
Phone: (303) 979-4227
Get Directions

CRESTLINE DENTAL GROUP AND ORTHODONTICS, LLP is a general practice dentist in Lakewood, 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. CRESTLINE DENTAL GROUP AND ORTHODONTICS, LLP NPI is 1740433762. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Crestline Detnal Group And Orthodontics.

The provider's business location address is:

5392 S WADSWORTH BLVD
UNIT 103
LAKEWOOD, CO
ZIP 80123-227
Phone: (303) 979-4227
Fax: (303) 845-5120

The provider's authorized official is Charles F Rodgers .
The authorized official title is Owner Doctor and has the following contact phone number (303) 979-4227.

The enumeration date for this NPI number is 11/4/2008 and was last updated on 11/4/2008.


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
11223G0001XDentistGeneral PracticeYes

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: 11/14/2023

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.