Awesome Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10155 Issued in CO

Legal business name

AWESOME DENTAL, PLLC

Doing business as

Awesome Dental Stapleton

Practice address

3600 Quebec St
2ND Floor
Denver, CO 80207-1637

Phone

(303) 355-1818

NPI assigned

Mar 9, 2015

Last updated

Mar 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Nguyen, DDS

Title

Dentist

Phone

(303) 355-1818

Specialties & licenses 1

Addresses

Other names 1

• Awesome Dental Stapleton Doing business as

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1619360146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 QUEBEC ST",
            "address_2": "2ND FLOOR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071637",
            "telephone_number": "303-355-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 QUEBEC ST",
            "address_2": "2ND FLOOR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071637",
            "telephone_number": "303-355-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-355-1818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "10155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awesome Dental Stapleton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leanna Rene Avram
• Yelena Avramenko, LPC
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• Awaken Possibility, LLC
• Awaken Spontaneity Counseling PLLC
• Nicole Marie Awuah, NP
• Victoria Awuah
• Rob Awunganyi
• Sarah Ann Axelrath, MD
• Stephen Axelrod, M.D.

• Dental Clinic/Center in Denver, CO
• Providers in Denver, 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 9, 2015; 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.