Pine Grove Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

341 Issued in CO

Legal business name

PINE GROVE DENTAL ASSOCIATES

Practice address

1475 Pine Grove Road #107
Steamboat Spring, CO 80487-8803

Phone

(970) 879-1959

Fax

(970) 879-1973

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Curtis Jay Comeau, DDSNPI 1609934967

Title

Owner

Phone

(970) 879-1959

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Curtis Jay Comeau, DDS

  • General Practice Dentistry
  • Steamboat Springs, CO
  • NPI 1609934967
  NPD (past) Authorized official
• Andrew Thomas Jorgensen, DMD

  • Dentist
  • Steamboat Springs, CO
  • NPI 1518307438
  NPD (past)
• William Reeves Schwartz, DDS

  • General Practice Dentistry
  • Steamboat Springs, CO
  • NPI 1710045075
  NPD (past)
• Kevin Thomas Sullivan, DDS

  • General Practice Dentistry
  • Steamboat Springs, CO
  • NPI 1750940615
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346308608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 PINE GROVE ROAD #107",
            "city": "STEAMBOAT SPRING",
            "state": "CO",
            "postal_code": "804878803",
            "telephone_number": "970-879-1959",
            "fax_number": "970-879-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 PINE GROVE ROAD #107",
            "city": "STEAMBOAT SPRING",
            "state": "CO",
            "postal_code": "804878803",
            "telephone_number": "970-879-1959",
            "fax_number": "970-879-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE GROVE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COMEAU",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-879-1959",
        "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": "341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.