Excellence in Dentistry of Erie

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10729 Issued in CO

Legal business name

EXCELLENCE IN DENTISTRY OF ERIE

Practice address

615 Mitchell Way Ste 104
Erie, CO 80516-5438

Phone

(303) 828-9998

NPI assigned

Mar 18, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly McCleskey

Title

Director of Operations

Phone

(303) 828-9998

Specialties & licenses 1

Addresses

Other names 1

• Impressions Dental Doing business as

Locations

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1366784332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MITCHELL WAY STE 104",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805165438",
            "telephone_number": "303-828-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 MITCHELL WAY STE 104",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805165438",
            "telephone_number": "303-828-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE IN DENTISTRY OF ERIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "MCCLESKEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "303-828-9998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impressions Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Duane Eshima, PHARM D
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• Roseanna L Falls, LCSW
• Jacqueline Rachel Fell, FNP
• Finding Peace Lactation
• Jennifer E Fischer, MA, LPC, CACI

• Dental Clinic/Center in Erie, CO
• Providers in Erie, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.