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ADVANCED DENTAL CENTER
NPI 1467868596
Dentist - General Practice in Federal Heights, CO

Active since July 09, 2014
1557 W 84TH AVE UNIT 1, FEDERAL HEIGHTS, CO 80260(303) 426-4860(303) 426-1530 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Dental Center NPPES

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

ADVANCED DENTAL CENTER (NPI 1467868596) is a healthcare organization registered as a general practice in Federal Heights, Colorado and active in the NPI registry since July 2014. The organization lists Jason Ronald Van Wagenen, Partner, as its authorized official.

NPPES Registry Identity

NPI1467868596
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameADVANCED DENTAL CENTER
Location Address1557 W 84TH AVE UNIT 1Federal Heights, CO 80260-4780
Mailing Address1557 W 84th Ave Unit 1Federal Heights, CO 80260-4780 · (303) 426-4860 · Fax (303) 426-1530
Phone(303) 426-4860
Fax(303) 426-1530
Organization SubpartNo
Authorized OfficialJason Ronald Van WagenenPartner · (303) 426-4860
Enumeration DateJuly 9, 2014
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1467868596 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 · 8478
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.

1557 W 84TH AVE UNIT 1, Federal Heights, CO 80260
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Other Identifiers 1

Medicaid98681753CO

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

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 Advanced Dental Center's NPI number?

The NPI number for Advanced Dental Center is 1467868596. It was assigned to this organization in the NPPES registry on July 9, 2014.

Where is Advanced Dental Center located?

Advanced Dental Center is located at 1557 W 84th Ave Unit 1, Federal Heights, CO 80260. The listed phone number is (303) 426-4860.

What is Advanced Dental Center'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 Advanced Dental Center was last updated on September 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.