STANDLEY LAKE FAMILY DENTAL
NPI 1417501180
Dentist - General Practice in Arvada, CO

Active since July 30, 2019
8721 WADSWORTH BLVD, ARVADA, CO 80003(720) 605-4302 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2021, Jul 30, 2019 (2 updates tracked since 2019).

About Standley Lake Family Dental NPPES

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

STANDLEY LAKE FAMILY DENTAL (NPI 1417501180) is a healthcare organization registered as a general practice in Arvada, Colorado and active in the NPI registry since July 2019. The organization lists Gregory Kostelac, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1417501180
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMY LOCAL COLORADO DENTAL PRACTICE, LLC
Location Address8721 WADSWORTH BLVDArvada, CO 80003-0929
Mailing Address8721 Wadsworth BlvdArvada, CO 80003-0929 · (720) 605-4302
Organization SubpartYes
Authorized OfficialGregory KostelacCredentialing Specialist · (719) 372-5605
Enumeration DateJuly 30, 2019
Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
NPI 1417501180 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.
8721 WADSWORTH BLVD, Arvada, CO 80003

Other Names 1

Doing Business AsStandley Lake Family Dental

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 2

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

Audiologist
8721 WADSWORTH BLVD, SUITE C
ARVADA, CO 80003
Clinic/Center (Hearing and Speech)
8721 WADSWORTH BLVD, SUITE C
ARVADA, CO 80003

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 My Local Colorado Dental Practice, LLC's NPI number?

The NPI number for My Local Colorado Dental Practice, LLC is 1417501180. It was assigned to this organization in the NPPES registry on July 30, 2019. The provider is doing business as Standley Lake Family Dental.

Where is My Local Colorado Dental Practice, LLC located?

My Local Colorado Dental Practice, LLC is located at 8721 Wadsworth Blvd, Arvada, CO 80003. The listed phone number is (720) 605-4302.

What is My Local Colorado Dental Practice, LLC's specialty?

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

What insurance does My Local Colorado Dental Practice, LLC accept?

Health plans from UnitedHealthcare list My Local Colorado Dental Practice, LLC 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 My Local Colorado Dental Practice, LLC was last updated on July 23, 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.