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THEODORE E. MIODUSKI III D.D.S.
NPI 1174726269
Dentist - General Practice in Loveland, CO

Active since June 07, 2007
2975 GINNALA DR, SUITE #100, LOVELAND, CO 80538(970) 663-1000(970) 663-0615 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore E. Mioduski Iii D.d.s. NPPES

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

THEODORE E. MIODUSKI III D.D.S. (NPI 1174726269) is an individual general practice provider in Loveland, Colorado, licensed in Colorado (9587) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1174726269
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTHEODORE E. MIODUSKI IIICredential: D.D.S.
Location Address2975 GINNALA DR, SUITE #100Loveland, CO 80538-3300
Mailing Address2975 Ginnala Dr, Suite #100Loveland, CO 80538-3300 · (970) 663-1000 · Fax (970) 663-0615
Phone(970) 663-1000
Fax(970) 663-0615
Sole ProprietorNo
Enumeration DateJune 7, 2007
Last NPPES UpdateJuly 16, 2008
✔ NPI 1174726269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 9587
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.
2975 GINNALA DR, Loveland, CO 80538
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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 Theodore Mioduski's NPI number?

The NPI number for Theodore Mioduski is 1174726269. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Theodore Mioduski located?

Theodore Mioduski practices at 2975 Ginnala Dr Suite #100, Loveland, CO 80538. The listed phone number is (970) 663-1000.

What is Theodore Mioduski's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodore Mioduski was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.