Organization Active NPI

Lil Teeth Dentistry PLLC

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1720592157
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIL TEETH DENTISTRY PLLC
Practice address
3464 N Salida CT
Suite a
Aurora, CO 80011-5031
Phone
(303) 307-9999
Fax
(303) 307-9992
NPI assigned
Nov 21, 2017
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Andre Gillespie, DDSNPI 1285897751
Title
Owner
Phone
(303) 307-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X CO Primary

Addresses

Primary practice location

3464 N Salida CT
Suite a
Aurora, CO 80011-5031

Mailing address

3464 N. Salida St
Suite a
Aurora, CO 80011
Phone (303) 307-9999

National Provider Directory

National Provider Directory

Locations

3464 N Salida St
Ste A
Aurora, CO 80011
Phone (303) 307-9999

Practitioners & affiliated clinicians

Practitioners 3

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": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1720592157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 N. SALIDA ST",
            "address_2": "SUITE A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80011",
            "telephone_number": "303-307-9999",
            "fax_number": "303-307-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 N SALIDA CT",
            "address_2": "SUITE A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800115031",
            "telephone_number": "303-307-9999",
            "fax_number": "303-307-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL TEETH DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-307-9999",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.