Colorado Mobile Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00202932 Issued in CO

Legal business name

COLORADO MOBILE DENTAL LLC

Practice address

8000 S Lincoln St
Suite 2-4
Littleton, CO 80122-2714

Phone

(303) 810-5619

Fax

(303) 265-9498

NPI assigned

Dec 28, 2016

Organization subpart

No

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

Authorized official

Name

Sally Daly, DDS

Title

Owner

Phone

(303) 810-5619

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1669917704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 S LINCOLN ST",
            "address_2": "SUITE 2-4",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222714",
            "telephone_number": "303-810-5619",
            "fax_number": "303-265-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 S LINCOLN ST",
            "address_2": "SUITE 2-4",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222714",
            "telephone_number": "303-810-5619",
            "fax_number": "303-265-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO MOBILE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-810-5619",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Littleton, CO
• Providers in Littleton, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.