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MOUNTAIN DENTAL ANESTHESIA LLC
NPI 1922642743
Dentist - General Practice in Broomfield, CO

Active since November 05, 2019
11001 W 120TH AVE STE 400, BROOMFIELD, CO 80021(317) 459-0738 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Dental Anesthesia Llc NPPES

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

MOUNTAIN DENTAL ANESTHESIA LLC (NPI 1922642743) is a healthcare organization registered as a general practice in Broomfield, Colorado and active in the NPI registry since November 2019. The organization lists John Russell Yancey, Dentist Anesthesiologist, as its authorized official.

NPPES Registry Identity

NPI1922642743
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOUNTAIN DENTAL ANESTHESIA LLC
Location Address11001 W 120TH AVE STE 400Broomfield, CO 80021-3493
Mailing Address7787 W 106th AveWestminster, CO 80021-3951 · (317) 459-0738
Phone(317) 459-0738
Organization SubpartYesParent: Mountain Dental Llc
Authorized OfficialJohn Russell YanceyDentist Anesthesiologist · (317) 459-0738
Enumeration DateNovember 5, 2019
✔ NPI 1922642743 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.
11001 W 120TH AVE STE 400, Broomfield, CO 80021
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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 11

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

ELEVATE MEDICAL SUPPLY LLC
Durable Medical Equipment & Medical Supplies
11001 W 120TH AVE STE 400
BROOMFIELD, CO 80021
Jefferson County (720) 793-7552
DR. AMY VAN ARSDALE PH.D.
Psychologist (Counseling)
11001 W 120TH AVE STE 400
BROOMFIELD, CO 80021
Jefferson County (720) 432-3887
COLORADO NEURODIAGNOSTICS, LLC
Psychiatry & Neurology (Neurology)
11001 W 120TH AVE STE 400
BROOMFIELD, CO 80021
Jefferson County (720) 597-3300
GINA GARDNER-WOOD
Social Worker (Clinical)
11001 W 120TH AVE STE 400
BROOMFIELD, CO 80021
Jefferson County (720) 370-1800
MILE HIGH DENTAL ANESTHESIA LLC
Dentist (Dentist Anesthesiologist)
11001 W 120TH AVE STE 400
BROOMFIELD, CO 80021
Jefferson County (970) 315-1319
MARCY WILLARD PHD
Psychologist (Clinical)
11001 W 120TH AVE STE 400
BROOMFIELD, CO 80021
Jefferson County (303) 222-7923
LARA FALER-COHEN PSYD
Psychologist (Clinical)
11001 W 120TH AVE STE 400
BROOMFIELD, CO 80021
Jefferson County (720) 807-2919
JENNIE BERNSTEIN PSYD
Psychologist (Clinical)
11001 W 120TH AVE STE 400
BROOMFIELD, CO 80021
Jefferson County (701) 484-3751

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 Dental Anesthesia LLC's NPI number?

The NPI number for Mountain Dental Anesthesia LLC is 1922642743. It was assigned to this organization in the NPPES registry on November 5, 2019.

Where is Mountain Dental Anesthesia LLC located?

Mountain Dental Anesthesia LLC is located at 11001 W 120th Ave Ste 400, Broomfield, CO 80021. The listed phone number is (317) 459-0738.

What is Mountain Dental Anesthesia LLC'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 Mountain Dental Anesthesia LLC was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.