Organization Active NPI

Grand Dental P.C.

  • Dentist
  • Grand Junction, CO
National Provider Identifier
1629297304
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN104620 Issued in CO
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.