NPIMap

Organization Active NPI

Dental Management Group LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Denver, CO
National Provider Identifier
1003170101
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6616 Issued in CO
Legal business name
DENTAL MANAGEMENT GROUP LLC
Practice address
3216 High St
Denver, CO 80205-4062
Phone
(303) 394-0231
Fax
(303) 329-4622
NPI assigned
Jul 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ashraf Sedhom
Title
Oral Surgeon
Phone
(303) 394-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 6616 CO Primary

Addresses

Primary practice location

3216 High St
Denver, CO 80205-4062

Mailing address

11246 E Mississippi Ave
Aurora, CO 80012-3202
Phone (303) 394-0231

Other names 1

  • Affordable Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Management Group LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1003170101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11246 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123202",
            "telephone_number": "303-394-0231",
            "fax_number": "303-329-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 HIGH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802054062",
            "telephone_number": "303-394-0231",
            "fax_number": "303-329-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "SEDHOM",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "303-394-0231",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "6616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.