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SOUTHGLENN DENTAL CARE, PC
NPI 1144988957
Dentist - Endodontics in Centennial, CO

Active since November 30, 2021
6650 S VINE ST STE 200, CENTENNIAL, CO 80121(303) 797-3636 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2021, Nov 30, 2021 (2 updates tracked since 2021).

About Southglenn Dental Care, Pc NPPES

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

SOUTHGLENN DENTAL CARE, PC (NPI 1144988957) is a healthcare organization registered as an endodontics in Centennial, Colorado and active in the NPI registry since November 2021. The organization lists Angela Eiswerth, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1144988957
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameSOUTHGLENN DENTAL CARE, PC
Location Address6650 S VINE ST STE 200Centennial, CO 80121-2763
Mailing Address7160 Dallas Pkwy Ste 400Plano, TX 75024-7111
Phone(303) 797-3636
Organization SubpartNo
Authorized OfficialAngela EiswerthCredentialing Manager · (770) 833-0994
Enumeration DateNovember 30, 2021
Last NPPES UpdateDecember 7, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1144988957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
6650 S VINE ST STE 200, Centennial, CO 80121
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Other Names 1

Doing Business AsSouthglenn Dental Care, Pc

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

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 Southglenn Dental Care, PC's NPI number?

The NPI number for Southglenn Dental Care, PC is 1144988957. It was assigned to this organization in the NPPES registry on November 30, 2021.

Where is Southglenn Dental Care, PC located?

Southglenn Dental Care, PC is located at 6650 S Vine St Ste 200, Centennial, CO 80121. The listed phone number is (303) 797-3636.

What is Southglenn Dental Care, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Southglenn Dental Care, PC was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.