Active NPIOrganization

38TH Modern Dental Practice, LLC

Dentist, General Practice in Denver, Colorado

NPI Number1609390632
Practice location
3550 W 38TH Ave., #5, Denver, CO 80211
Fax
888-790-7062
Last updated
August 1, 2017

38TH Modern Dental Practice, LLC is a healthcare organization based in Denver, CO. The NPI number for 38TH Modern Dental Practice, LLC is 1609390632. The current practice location address is 3550 W 38TH Ave., #5, Denver, CO 80211 and the office can be reached by phone at 303-515-7008 and by fax at 888-790-7062. The NPI was assigned on August 1, 2017 and the record was last updated in NPPES on August 1, 2017.

●Provider Profile Details

NPI Number
1609390632
Provider Name
38TH Modern Dental Practice, LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Scott Frederick, DDS · Owner · 303-515-7008
Enumeration Date
August 1, 2017
Last Update Date
August 1, 2017
NPI Status
Active
Other Names
38TH Modern Dental (Doing Business As)

◉Business Practice Location Address

Address
3550 W 38TH Ave.
#5
Denver, CO 80211
City
Denver
ZIP
80211
Country
US
Phone Number
303-515-7008
Fax Number
888-790-7062

Get directions →

✉Business Mailing Address

Address
6020 N Carefree Cir
Colorado Springs, CO 80922-2402
City
Colorado Springs
State
CO
ZIP
80922-2402
Phone Number
719-266-2717
Fax Number
888-790-7062

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist
193200000X - Multi-Specialty Group
122300000XNo——
Dentist, Periodontics
193200000X - Multi-Specialty Group
1223P0300XNo——
Dentist, Oral and Maxillofacial Surgery
193200000X - Multi-Specialty Group
1223S0112XNo——
Dentist, General Practice
193200000X - Multi-Specialty Group
1223G0001XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of 38TH Modern Dental Practice, LLC?

The NPI number of 38TH Modern Dental Practice, LLC is 1609390632. It was assigned on August 1, 2017 and is currently active in the NPPES registry.

What is the specialty of 38TH Modern Dental Practice, LLC?

38TH Modern Dental Practice, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does 38TH Modern Dental Practice, LLC practice?

The practice location is 3550 W 38TH Ave., #5, Denver, CO 80211. The office can be reached at 303-515-7008 (phone) or 888-790-7062 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609390632 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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