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PARK PLACE DENTAL
NPI 1649512849
Dentist - General Practice in Aurora, CO

Active since March 26, 2013
13764 E QUINCY AVE, AURORA, CO 80015(303) 690-0877(303) 690-1250 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Place Dental NPPES

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

PARK PLACE DENTAL (NPI 1649512849) is a healthcare organization registered as a general practice in Aurora, Colorado and active in the NPI registry since March 2013. The organization lists Grady Randall, Owner, as its authorized official.

NPPES Registry Identity

NPI1649512849
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRADY RANDALL PLLC
Location Address13764 E QUINCY AVEAurora, CO 80015
Mailing Address13764 E Quincy AveAurora, CO 80015 · (303) 690-0877 · Fax (303) 690-1250
Phone(303) 690-0877
Fax(303) 690-1250
Organization SubpartNo
Authorized OfficialGrady RandallOwner · (303) 690-0877
Enumeration DateMarch 26, 2013
✔ NPI 1649512849 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 · DEN00201849
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.
13764 E QUINCY AVE, Aurora, CO 80015
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Other Names 1

Doing Business AsPark Place Dental

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 2

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

SIGNATURE DENTISTRY OF AURORA
Dentist
13764 E QUINCY AVE
AURORA, CO 80015
Arapahoe County (303) 423-7298
DR. KENNETH ROBERT WILSON DDS
Dentist
13764 E QUINCY AVE
AURORA, CO 80015
Arapahoe County (303) 690-0877

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 Grady Randall PLLC's NPI number?

The NPI number for Grady Randall PLLC is 1649512849. It was assigned to this organization in the NPPES registry on March 26, 2013. The provider is doing business as Park Place Dental.

Where is Grady Randall PLLC located?

Grady Randall PLLC is located at 13764 E Quincy Ave, Aurora, CO 80015. The listed phone number is (303) 690-0877.

What is Grady Randall PLLC'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 Grady Randall PLLC was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.