Southglenn Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

9238 Issued in CO

Legal business name

SOUTHGLENN ENDODONTICS

Practice address

6650 S Vine St
Ste 200
Centennial, CO 80121-2735

Phone

(303) 797-3636

Fax

(303) 993-2048

NPI assigned

Nov 23, 2009

Organization subpart

No

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

Authorized official

Name

Sonia Gallego, D.M.D.

Title

President

Phone

(303) 797-3636

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1013245422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 S VINE ST STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801212735",
            "telephone_number": "303-797-3636",
            "fax_number": "303-993-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 S VINE ST",
            "address_2": "STE 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801212735",
            "telephone_number": "303-797-3636",
            "fax_number": "303-993-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHGLENN ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "GALLEGO",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-797-3636",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "9238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Suburban Family Practice P C
• Jordan Southall, PHARMD
• Southeast Counseling & Coaching Center PC
• Southeast Counseling and Coaching
• Southglenn Dental Care, PC
• Southglenn Eyecare, PC
• Southglenn Modern Dentistry, LLP (Southglenn Modern Dentisrty)
• Sowash Optometry Group, PC (Visionworks)
• Dara-Lynn Sowell
• Louis Wolfe Spaner, ND

• Endodontics in Centennial, CO
• Providers in Centennial, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.