Active NPI
Grand Dental P.C.
- Dentist
- Grand Junction, CO
National Provider Identifier
1629297304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN104620
- Legal business name
- GRAND DENTAL P.C.
- Practice address
- 1035 Grand Ave
Grand Junction, CO 81501-3427 - Phone
- (970) 243-8580
- Fax
- (970) 242-4331
- NPI assigned
- Apr 24, 2007
- Last updated
- Oct 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brett Clifton, D.D.S.
- Title
- Doctor
- Phone
- (970) 243-8580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN104620 | CO | Primary |
Addresses
Primary practice location
1035 Grand Ave
Grand Junction, CO 81501-3427
Mailing address
1035 Grand Ave
Grand Junction, CO 81501-3427
Phone (970) 243-8580
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Grand Junction, CO
- NPI 1053433672
-
- General Practice Dentistry
- Grand Junction, CO
- NPI 1548942394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192492800000",
"number": "1629297304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 GRAND AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013427",
"telephone_number": "970-243-8580",
"fax_number": "970-242-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 GRAND AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815013427",
"telephone_number": "970-243-8580",
"fax_number": "970-242-4331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND DENTAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2007-10-16",
"status": "A",
"authorized_official_last_name": "CLIFTON",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "970-243-8580",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN104620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.