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RASOULI DENTAL CARE LLC
NPI 1972169654
Dentist - General Practice in Lakewood, CO

Active since May 17, 2019
1200 S WADSWORTH BLVD STE 200, LAKEWOOD, CO 80232(303) 733-7533(303) 733-9826 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2020, May 17, 2019 (2 updates tracked since 2019).

About Rasouli Dental Care Llc NPPES

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

RASOULI DENTAL CARE LLC (NPI 1972169654), doing business as Family Dental Clinic Llc, is a healthcare organization registered as a general practice in Lakewood, Colorado and active in the NPI registry since May 2019. The organization lists Jina Rasouli, Dentist, as its authorized official.

NPPES Registry Identity

NPI1972169654
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRASOULI DENTAL CARE LLC
Location Address1200 S WADSWORTH BLVD STE 200Lakewood, CO 80232-5434
Mailing Address1200 S Wadsworth Blvd Ste 200Lakewood, CO 80232-5434 · (303) 733-7533 · Fax (303) 733-9826
Phone(303) 733-7533
Fax(303) 733-9826
Organization SubpartNo
Authorized OfficialJina RasouliDentist · (720) 232-3095
Enumeration DateMay 17, 2019
Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
✔ NPI 1972169654 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.
1200 S WADSWORTH BLVD STE 200, Lakewood, CO 80232
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Other Names 1

Former Legal Business NameFamily Dental Clinic Llc

Other Identifiers 1

Medicaid1992997209CO

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.

ANGELINA RODRIQUEZ RDH
Dental Hygienist
1200 S WADSWORTH BLVD STE 200
LAKEWOOD, CO 80232
Jefferson County (303) 733-7533
ELITE DENTAL GROUP LAKEWOOD INC
Clinic/Center (Dental)
1200 S WADSWORTH BLVD STE 200
LAKEWOOD, CO 80232
Jefferson County (303) 733-7533

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 Rasouli Dental Care LLC's NPI number?

The NPI number for Rasouli Dental Care LLC is 1972169654. It was assigned to this organization in the NPPES registry on May 17, 2019. The provider was formerly known as Family Dental Clinic LLC.

Where is Rasouli Dental Care LLC located?

Rasouli Dental Care LLC is located at 1200 S Wadsworth Blvd Ste 200, Lakewood, CO 80232. The listed phone number is (303) 733-7533.

What is Rasouli Dental Care 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 Rasouli Dental Care LLC was last updated on March 9, 2020. 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.