MY LOCAL COLORADO DENTAL PRACTICE, LLC - NPI 1942854617

Q: What is My Local Colorado Dental Practice, LLC's specialty?

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

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About My Local Colorado Dental Practice, Llc NPPES

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

MY LOCAL COLORADO DENTAL PRACTICE, LLC (NPI 1942854617), doing business as Mountain Shadows Dental, is a healthcare organization registered as a general practice in Firestone, Colorado and active in the NPI registry since July 2019. The organization lists Michelle Johnson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1942854617

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMY LOCAL COLORADO DENTAL PRACTICE, LLC

Location Address11078 CIMARRON ST UNIT HFirestone, CO 80504-6600

Mailing Address11078 Cimarron St Unit HFirestone, CO 80504-6600 · (303) 485-6595

Phone(303) 485-6595

Organization SubpartYes

Authorized OfficialMichelle JohnsonCredentialing Specialist · (509) 315-8338

Enumeration DateJuly 30, 2019

✔ NPI 1942854617 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.

11078 CIMARRON ST UNIT H, Firestone, CO 80504

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Other Names 1

Doing Business AsMountain Shadows Dental

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

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.

DR. ANTHONY RYAN LERE DDS

Dentist (General Practice)

11078 CIMARRON ST UNIT H
FIRESTONE, CO 80504

Weld County (303) 485-6595

CARA MALONEY DMD

Dentist

11078 CIMARRON ST UNIT H
FIRESTONE, CO 80504

Weld County (303) 485-6595

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 My Local Colorado Dental Practice, LLC's NPI number?

The NPI number for My Local Colorado Dental Practice, LLC is 1942854617. It was assigned to this organization in the NPPES registry on July 30, 2019.

Where is My Local Colorado Dental Practice, LLC located?

My Local Colorado Dental Practice, LLC is located at 11078 Cimarron St Unit H, Firestone, CO 80504. The listed phone number is (303) 485-6595.

What is My Local Colorado Dental Practice, 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 My Local Colorado Dental Practice, LLC was last updated on July 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.