MOUNTAIN STREAM DENTAL CARE PLLC
NPI 1679204317
Clinic/Center - Dental in Woodland Park, CO

Active since June 23, 2022
791 W KELLY RD, WOODLAND PARK, CO 80863(719) 687-9011 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Stream Dental Care Pllc NPPES

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

MOUNTAIN STREAM DENTAL CARE PLLC (NPI 1679204317), doing business as Timberland Dental Care, is a healthcare organization registered as a dental in Woodland Park, Colorado and active in the NPI registry since June 2022. The organization lists Leila Macario, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1679204317
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMOUNTAIN STREAM DENTAL CARE PLLC
Location Address791 W KELLY RDWoodland Park, CO 80863-3014
Mailing Address791 W Kelly RdWoodland Park, CO 80863-3014 · (719) 687-9011
Organization SubpartNo
Authorized OfficialLeila MacarioGeneral Dentist · (954) 599-9530
Enumeration DateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1679204317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
791 W KELLY RD, Woodland Park, CO 80863

Other Names 1

Doing Business AsTimberland Dental Care

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.

Dentist (General Practice)
791 W KELLY RD
WOODLAND PARK, CO 80863
Dentist (Orthodontics and Dentofacial Orthopedics)
791 W KELLY RD
WOODLAND PARK, CO 80863

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 Mountain Stream Dental Care PLLC's NPI number?

The NPI number for Mountain Stream Dental Care PLLC is 1679204317. It was assigned to this organization in the NPPES registry on June 23, 2022. The provider is doing business as Timberland Dental Care.

Where is Mountain Stream Dental Care PLLC located?

Mountain Stream Dental Care PLLC is located at 791 W Kelly Rd, Woodland Park, CO 80863. The listed phone number is (719) 687-9011.

What is Mountain Stream Dental Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mountain Stream Dental Care PLLC was last updated on June 23, 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.