JACKSON CREEK DENTAL CARE
NPI 1013163351
Dentist - General Practice in Monument, CO

Active since August 18, 2008
15854 JACKSON CREEK PKWY, SUITE 140, MONUMENT, CO 80132(719) 302-2200(216) 584-1360 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 20, 2018, Oct 25, 2017 (2 updates tracked since 2017).

About Jackson Creek Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON CREEK DENTAL CARE (NPI 1013163351) is a healthcare organization registered as a general practice in Monument, Colorado and active in the NPI registry since August 2008. The organization lists Rachel Nittinger, Manager Credentialing3, as its authorized official.

NPPES Registry Identity

NPI1013163351
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJACKSON CREEK DENTAL CARE, P.C.
Location Address15854 JACKSON CREEK PKWY, SUITE 140Monument, CO 80132-8663
Mailing Address7160 Dallas Pkwy Ste 400Plano, TX 75024-7111
Fax(216) 584-1360
Organization SubpartYesParent: Dentalone Partners, Inc
Authorized OfficialRachel NittingerManager Credentialing3 · (972) 755-0816
Enumeration DateAugust 18, 2008
Last NPPES UpdateMarch 20, 20182 updates tracked since enumeration
NPI 1013163351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

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.

Also ListedDentistTaxonomy 122300000X
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
15854 JACKSON CREEK PKWY, Monument, CO 80132

Other Names 1

Doing Business AsJackson Creek Dental Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
15854 JACKSON CREEK PKWY, SUITE 140
MONUMENT, CO 80132
Emergency Medicine
15854 JACKSON CREEK PKWY, 120
MONUMENT, CO 80132
Family Medicine
15854 JACKSON CREEK PKWY, SUITE 120
MONUMENT, CO 80132
Dentist (General Practice)
15854 JACKSON CREEK PKWY
MONUMENT, CO 80132

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013163351, enumerated as an "organization" on August 18, 2008.

The provider is located at 15854 JACKSON CREEK PKWY SUITE 140 MONUMENT, CO 80132 and the phone number is (719) 302-2200.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.