M. Dental, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

7162 Issued in CO

Legal business name

M. DENTAL, P.C.

Practice address

745 S. Gartrell Rd.
Unit A9
Aurora, CO 80016-2439

Phone

(303) 840-9447

NPI assigned

Mar 29, 2014

Organization subpart

No

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

Authorized official

Name

Cyndi L. Lyden

Title

Personal Representative

Phone

(303) 333-7733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1013335918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S HARRISON ST",
            "address_2": "STE. 1250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103925",
            "telephone_number": "303-333-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 S. GARTRELL RD.",
            "address_2": "UNIT A9",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162439",
            "telephone_number": "303-840-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "LYDEN",
        "authorized_official_first_name": "CYNDI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PERSONAL REPRESENTATIVE",
        "authorized_official_telephone_number": "303-333-7733"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "7162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.