Mountain Dental Hygiene Services, LLC

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

903771 Issued in CO

Legal business name

MOUNTAIN DENTAL HYGIENE SERVICES, LLC

Practice address

1840 S Wadsworth Blvd
Lakewood, CO 80232

Phone

(303) 523-2851

Fax

(303) 838-9465

NPI assigned

May 23, 2007

Last updated

Dec 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Havens Ann Guenthner, RDHNPI 1245440098

Title

Direct Access Dental Hygienist(Owne

Phone

(303) 523-2851

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Havens Ann Guenthner, RDH

  • Dental Hygienist
  • Conifer, CO
  • NPI 1245440098
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1164632907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "BAILEY",
            "state": "CO",
            "postal_code": "804210075",
            "telephone_number": "303-523-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S WADSWORTH BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80232",
            "telephone_number": "303-523-2851",
            "fax_number": "303-838-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN DENTAL HYGIENE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "GUENTHNER",
        "authorized_official_first_name": "HAVENS",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECT ACCESS DENTAL HYGIENIST(OWNE",
        "authorized_official_telephone_number": "303-523-2851",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "903771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51056348",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minoo Mostafavifar
• Sravya Motheramgari, DO
• Richard Charles Mottern, M.A.,L.P.C,
• Jeffrey S Moulton, MD
• Randy J Mound, M.D.
• Mountain Medical Care
• Mountain States Pathology
• Mountain West Dialysis Services LLC (Lakewood Dialysis Center)
• Mountain West Dialysis Services LLC (Lakewood Crossing Dialysis)
• Mountain West Dialysis Services LLC (Mile High Home Dialysis)

• Dental Hygienist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.