BROOMFIELD MODERN DENTISTRY AND ORTHODONTICS
NPI 1619207594
Dentist - General Practice in Broomfield, CO

Active since December 28, 2009
4490 W 121ST AVE STE 7, BROOMFIELD, CO 80020(714) 368-2077(303) 362-5615 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broomfield Modern Dentistry And Orthodontics NPPES

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

BROOMFIELD MODERN DENTISTRY AND ORTHODONTICS (NPI 1619207594) is a healthcare organization registered as a general practice in Broomfield, Colorado and active in the NPI registry since December 2009. The organization lists Marzieh Shafie, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1619207594
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBROOMFIELD MODERN DENTISTRY AND ORTHODONTICS, LLP
Location Address4490 W 121ST AVE STE 7Broomfield, CO 80020-5665
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890
Fax(303) 362-5615
Organization SubpartNo
Authorized OfficialMarzieh ShafieOwner Doctor · (714) 368-2077
Enumeration DateDecember 28, 2009
Last NPPES UpdateFebruary 7, 2022
NPPES CertifiedFebruary 7, 2022
NPI 1619207594 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.
4490 W 121ST AVE STE 7, Broomfield, CO 80020

Other Names 1

Doing Business AsBroomfield Modern Dentistry And Orthodontics

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 3

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

Dentist (General Practice)
4490 W 121ST AVE STE 7
BROOMFIELD, CO 80020
Dentist (General Practice)
4490 W 121ST AVE STE 7
BROOMFIELD, CO 80020
Dentist (General Practice)
4490 W 121ST AVE STE 7
BROOMFIELD, CO 80020

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 Broomfield Modern Dentistry And Orthodontics, LLP's NPI number?

The NPI number for Broomfield Modern Dentistry And Orthodontics, LLP is 1619207594. It was assigned to this organization in the NPPES registry on December 28, 2009. The provider is doing business as Broomfield Modern Dentistry And Orthodontics.

Where is Broomfield Modern Dentistry And Orthodontics, LLP located?

Broomfield Modern Dentistry And Orthodontics, LLP is located at 4490 W 121st Ave Ste 7, Broomfield, CO 80020. The listed phone number is (714) 368-2077.

What is Broomfield Modern Dentistry And Orthodontics, LLP's specialty?

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

What insurance does Broomfield Modern Dentistry And Orthodontics, LLP accept?

Health plans from UnitedHealthcare list Broomfield Modern Dentistry And Orthodontics, LLP 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 Broomfield Modern Dentistry And Orthodontics, LLP was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.