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ON-SITE DENTIST, LLC
NPI 1366960775
Dentist - General Practice in Englewood, CO

Active since September 06, 2017
10734 E BERRY AVE, ENGLEWOOD, CO 80111(719) 821-2237 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About On-site Dentist, Llc NPPES

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

ON-SITE DENTIST, LLC (NPI 1366960775) is a healthcare organization registered as a general practice in Englewood, Colorado and active in the NPI registry since September 2017. The organization lists Tyson Pechek, Director Of Dentistry, as its authorized official.

NPPES Registry Identity

NPI1366960775
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameON-SITE DENTIST, LLC
Location Address10734 E BERRY AVEEnglewood, CO 80111-3972
Mailing AddressPo Box 3449Greenwood Village, CO 80155-3449
Phone(719) 821-2237
Organization SubpartNo
Authorized OfficialTyson PechekDirector Of Dentistry · (719) 821-2237
Enumeration DateSeptember 6, 2017
Last NPPES UpdateOctober 10, 2017
✔ NPI 1366960775 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 · 9163
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.
10734 E BERRY AVE, Englewood, CO 80111
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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

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 On-Site Dentist, LLC's NPI number?

The NPI number for On-Site Dentist, LLC is 1366960775. It was assigned to this organization in the NPPES registry on September 6, 2017.

Where is On-Site Dentist, LLC located?

On-Site Dentist, LLC is located at 10734 E Berry Ave, Englewood, CO 80111. The listed phone number is (719) 821-2237.

What is On-Site Dentist, LLC'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 On-Site Dentist, LLC was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.