PARK DENTAL CENTER PROFESSIONAL LLC
NPI 1457455966
Dentist - General Practice in Aurora, CO

Active since September 13, 2006
2900 S PEORIA ST STE A, AURORA, CO 80014(303) 368-3636 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Park Dental Center Professional Llc NPPES

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

PARK DENTAL CENTER PROFESSIONAL LLC (NPI 1457455966) is a healthcare organization registered as a general practice in Aurora, Colorado and active in the NPI registry since September 2006. The organization lists Tae Een Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1457455966
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePARK DENTAL CENTER PROFESSIONAL LLC
Location Address2900 S PEORIA ST STE AAurora, CO 80014-3182
Mailing Address2900 S Peoria St Ste AAurora, CO 80014-3182 · (303) 368-3636 · Fax (303) 368-3631
Organization SubpartNo
Authorized OfficialTae Een ParkOwner · (303) 368-3636
Enumeration DateSeptember 13, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1457455966 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 · 8962
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.
2900 S PEORIA ST STE A, Aurora, CO 80014

Other Identifiers 1

Medicaid02270781CO

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Dental)
2900 S PEORIA ST STE A
AURORA, CO 80014
Dentist (General Practice)
2900 S PEORIA ST STE A
AURORA, CO 80014
Dentist (General Practice)
2900 S PEORIA ST STE A
AURORA, CO 80014
Dentist (General Practice)
2900 S PEORIA ST STE A
AURORA, CO 80014
Dentist (General Practice)
2900 S PEORIA ST STE A
AURORA, CO 80014
Dentist
2900 S PEORIA ST STE A
AURORA, CO 80014

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 Park Dental Center Professional LLC's NPI number?

The NPI number for Park Dental Center Professional LLC is 1457455966. It was assigned to this organization in the NPPES registry on September 13, 2006.

Where is Park Dental Center Professional LLC located?

Park Dental Center Professional LLC is located at 2900 S Peoria St Ste A, Aurora, CO 80014. The listed phone number is (303) 368-3636.

What is Park Dental Center Professional 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 Park Dental Center Professional LLC was last updated on August 22, 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.