Darren Bennett DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9748 Issued in CO

Legal business name

DARREN BENNETT DDS PC

Doing business as

Sloanside Dental

Practice address

2045 Sheridan Blvd
Suite H
Edgewater, CO 80214-1304

Phone

(303) 274-1100

NPI assigned

Jun 1, 2011

Last updated

Jun 1, 2011By 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

Dr. Darren Alexander Bennett, DDS

Title

Owner

Phone

(720) 317-4215

Specialties & licenses 1

Addresses

Other names 1

• Sloanside Dental Doing business as

Locations

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1245524800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 TENNYSON ST",
            "address_2": "#104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122501",
            "telephone_number": "303-274-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 SHERIDAN BLVD",
            "address_2": "SUITE H",
            "city": "EDGEWATER",
            "state": "CO",
            "postal_code": "802141304",
            "telephone_number": "303-274-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN BENNETT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-317-4215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sloanside Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Edgewater, CO
• Providers in Edgewater, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.