Golden Smiles Dental Services, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GOLDEN SMILES DENTAL SERVICES, PLLC

Practice address

4640 W Colfax Ave
Denver, CO 80204

Phone

(303) 376-8005

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Gregory Kostelac

Title

Office Manager

Phone

(303) 376-8005

Specialties & licenses 1

Addresses

Other names 1

• Golden Smiles Sloans Lake Doing business as

Locations

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1508588500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 AURARIA PKWY UNIT 401A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 W COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80204",
            "telephone_number": "303-376-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SMILES DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "KOSTELAC",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-376-8005"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Smiles Sloans Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Golden Touch, Inc.
• Golden Willow Living LLC
• Ayesha Patrice Golden
• Chandler Golden

• General Practice Dentistry in Denver, CO
• Providers in Denver, 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 Feb 10, 2023; 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.