TEQUILA SUNRISE BROOMFIELD PLLC
NPI 1124793476
Dentist - General Practice in Broomfield, CO

Active since August 10, 2021
5015 W 120TH AVE, BROOMFIELD, CO 80020(303) 466-2935 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tequila Sunrise Broomfield Pllc NPPES

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

TEQUILA SUNRISE BROOMFIELD PLLC (NPI 1124793476), doing business as Dental And Implant Centers Of Colorado, is a healthcare organization registered as a general practice in Broomfield, Colorado and active in the NPI registry since August 2021. The organization lists Kaushal Dhawan, Dentist, as its authorized official.

NPPES Registry Identity

NPI1124793476
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTEQUILA SUNRISE BROOMFIELD PLLC
Location Address5015 W 120TH AVEBroomfield, CO 80020-5606
Mailing Address5015 W 120th AveBroomfield, CO 80020-5606 · (303) 466-2935
Organization SubpartNo
Authorized OfficialKaushal DhawanDentist · (417) 379-7923
Enumeration DateAugust 10, 2021
NPPES CertifiedAugust 10, 2021
NPI 1124793476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
5015 W 120TH AVE, Broomfield, CO 80020

Other Names 1

Doing Business AsDental And Implant Centers Of Colorado

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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)
5015 W 120TH AVE
BROOMFIELD, CO 80020
Dentist (General Practice)
5015 W 120TH AVE
BROOMFIELD, CO 80020
Dentist (General Practice)
5015 W 120TH AVE
BROOMFIELD, CO 80020
Dentist
5015 W 120TH AVE
BROOMFIELD, CO 80020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tequila Sunrise Broomfield PLLC's NPI number?

The NPI number for Tequila Sunrise Broomfield PLLC is 1124793476. It was assigned to this organization in the NPPES registry on August 10, 2021. The provider is doing business as Dental and implant centers of Colorado.

Where is Tequila Sunrise Broomfield PLLC located?

Tequila Sunrise Broomfield PLLC is located at 5015 W 120th Ave, Broomfield, CO 80020. The listed phone number is (303) 466-2935.

What is Tequila Sunrise Broomfield PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tequila Sunrise Broomfield PLLC accept?

Health plans from UnitedHealthcare list Tequila Sunrise Broomfield PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tequila Sunrise Broomfield PLLC was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.