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STONEGATE DENTAL, INC.
NPI 1902920705
Dentist - General Practice in Parker, CO

Active since March 19, 2007
17021 LINCOLN AVE UNIT B, PARKER, CO 80134(720) 851-7069 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stonegate Dental, Inc. NPPES

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

STONEGATE DENTAL, INC. (NPI 1902920705) is a healthcare organization registered as a general practice in Parker, Colorado and active in the NPI registry since March 2007. The organization lists R. Kelly Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1902920705
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTONEGATE DENTAL, INC.
Location Address17021 LINCOLN AVE UNIT BParker, CO 80134-3146
Mailing Address17021 Lincoln Ave Unit BParker, CO 80134-3146
Phone(720) 851-7069
Organization SubpartNo
Authorized OfficialR. Kelly PetersenPresident · (720) 851-7069
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902920705 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 · 7978
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.
17021 LINCOLN AVE UNIT B, Parker, CO 80134
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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 3

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

R. KELLY PETERSEN D.D.S.
Dentist (General Practice)
17021 LINCOLN AVE UNIT B
PARKER, CO 80134
Douglas County (720) 851-7069
DEVIN K RENTZ DDS PC
Clinic/Center (Dental)
17021 LINCOLN AVE UNIT B
PARKER, CO 80134
Douglas County (720) 851-7069
DR. DEVIN KORY RENTZ
Dentist (General Practice)
17021 LINCOLN AVE UNIT B
PARKER, CO 80134
Douglas County (720) 851-7069

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 Stonegate Dental, Inc.'s NPI number?

The NPI number for Stonegate Dental, Inc. is 1902920705. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Stonegate Dental, Inc. located?

Stonegate Dental, Inc. is located at 17021 Lincoln Ave Unit B, Parker, CO 80134. The listed phone number is (720) 851-7069.

What is Stonegate Dental, Inc.'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 Stonegate Dental, Inc. 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.