Wahl Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105395 Issued in CO

Legal business name

WAHL DENTAL GROUP

Practice address

14001 E Iliff Ave Ste 303
Aurora, CO 80014-1426

Phone

(303) 337-7994

Fax

(303) 337-0719

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dale A Wahl, DDS

Title

President

Phone

(303) 337-7994

Specialties & licenses 1

Addresses

Practitioners 3

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

• Tom Gutberg, D.M.D.

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1891037263
  NPD (past)
• Mark Alan Maley, DDS

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1447244397
  NPD (past)
• Mark Raisor, DDS

  • Dentist
  • Aurora, CO
  • NPI 1588694947
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508899501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE STE 303",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141426",
            "telephone_number": "303-337-7994",
            "fax_number": "303-337-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE STE 303",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141426",
            "telephone_number": "303-337-7994",
            "fax_number": "303-337-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-337-7994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wagner, R.N.
• Kaitlin Wagner, LPC
• Katharine Lyle Holmes Wagner, CPNP
• Day Wah
• Fazal Nouman Wahid, M.D.
• Matthew Patrick Wahl, MD
• Madison Leigh Wahler
• Rosemary Wahlquist, BCBA
• Dawn Wainright, RN
• Mauricio Luder Waintrub, M.D.

• General Practice Dentistry in Aurora, CO
• Providers in Aurora, 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 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.