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COLORADO DENTAL PROFESSIONALS LLC NPI 1770791790


NPI Information

NPI: 1770791790
Provider Name: COLORADO DENTAL PROFESSIONALS, LLC

Doing Business As: SMOKY HILL DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
18525 E SMOKY HILL RD
SUITE D
CENTENNIAL, CO
ZIP 80015
Phone: (303) 617-9090
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COLORADO DENTAL PROFESSIONALS, LLC is a general practice dentist in Centennial, 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. COLORADO DENTAL PROFESSIONALS, LLC NPI is 1770791790. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Smoky Hill Dental.

The provider's business location address is:

18525 E SMOKY HILL RD
SUITE D
CENTENNIAL, CO
ZIP 80015-108
Phone: (303) 617-9090
Fax: (303) 617-9838

The provider's authorized official is Cassandra Petersen .
The authorized official title is Credentialing Team Lead and has the following contact phone number (217) 540-8972.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 11/14/2018.


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
11223G0001XDentistGeneral PracticeCO7099COLORADONo
21223G0001XDentistGeneral PracticeCO7282COLORADOYes

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
11700878626OTHERCOLORADODANIEL B NORRIE
21861494494OTHERCOLORADOROB C MULLINS

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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