FUN AT THE DENTIST PROFESSIONAL LLC
NPI 1316541733
Dentist - Pediatric Dentistry in Grand Jct, CO

Active since November 25, 2020
2525 N 8TH ST STE 105, GRAND JCT, CO 81501(970) 255-1111(970) 241-5555 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fun At The Dentist Professional Llc NPPES

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

FUN AT THE DENTIST PROFESSIONAL LLC (NPI 1316541733) is a healthcare organization registered as a pediatric dentistry in Grand Jct, Colorado and active in the NPI registry since November 2020. The organization lists Mary Jeanett White, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316541733
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFUN AT THE DENTIST PROFESSIONAL LLC
Location Address2525 N 8TH ST STE 105Grand Jct, CO 81501-8808
Mailing Address2525 N 8th St Ste 105Grand Jct, CO 81501-8808 · (970) 255-1111 · Fax (970) 241-5555
Fax(970) 241-5555
Organization SubpartNo
Authorized OfficialMary Jeanett WhiteOffice Manager · (970) 255-1111
Enumeration DateNovember 25, 2020
NPPES CertifiedNovember 24, 2020
NPI 1316541733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2525 N 8TH ST STE 105, Grand Jct, CO 81501

Other Identifiers 1

Medicaid16037375CO

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

Other Providers at the Same Location NPPES

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

Dental Hygienist
2525 N 8TH ST STE 105
GRAND JUNCTION, CO 81501

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 Fun At The Dentist Professional LLC's NPI number?

The NPI number for Fun At The Dentist Professional LLC is 1316541733. It was assigned to this organization in the NPPES registry on November 25, 2020.

Where is Fun At The Dentist Professional LLC located?

Fun At The Dentist Professional LLC is located at 2525 N 8th St Ste 105, Grand Jct, CO 81501. The listed phone number is (970) 255-1111.

What is Fun At The Dentist Professional LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Fun At The Dentist Professional LLC was last updated on November 25, 2020. 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.