Montrose Dental Partners Prof LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MONTROSE DENTAL PARTNERS PROF LLP

Practice address

1807 S Townsend Ave
Montrose, CO 81401-5448

Phone

(970) 255-1222

NPI assigned

Oct 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tyson Black, DMD

Title

Owner/Partner

Phone

(970) 255-1222

Specialties & licenses 1

Addresses

Other names 1

• Comfort Dental Montrose Doing business as

Locations

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1427508266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 S TOWNSEND AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015448",
            "telephone_number": "970-255-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 S TOWNSEND AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015448",
            "telephone_number": "970-255-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSE DENTAL PARTNERS PROF LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "970-255-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Dental Montrose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Montrose Chiropractic Center, Inc.
• Montrose County Family Planning
• Montrose County Nursing
• Montrose County School District Re-1J
• Montrose Dental Partners Inc
• Montrose Dental PLLC
• Montrose Dental Wellness PLLC
• Montrose Dermatology PLLC
• Montrose Dermatology PLLC
• Montrose Ears, Nose and Throat Center, L.L.C.

• General Practice Dentistry in Montrose, CO
• Providers in Montrose, 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 Oct 13, 2016; 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.