Lafayette Modern Smiles Dentistry and Orthodontics, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LAFAYETTE MODERN SMILES DENTISTRY AND ORTHODONTICS, LLP

Doing business as

Lafayette Modern Smiles Dentistry and Orthodontics

Practice address

1217 Diamond Cir Unit 1
Lafayette, CO 80026-9330

Phone

(303) 449-0116

Fax

(303) 449-4866

NPI assigned

Aug 21, 2012

Last updated

Nov 12, 2013By 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. Jessica Hetcko, DDS

Title

Owner Doctor

Phone

(303) 449-0116

Specialties & licenses 1

Addresses

Other names 1

• Lafayette Modern Smiles Dentistry and Orthodontics Doing business as

Locations

Practitioners 1

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.

• Seth Stacey, DDS

  • Dentist
  • Beaumont, CA
  • NPI 1043862006
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1730437807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 DIAMOND CIR UNIT 1",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269330",
            "telephone_number": "303-449-0116",
            "fax_number": "303-449-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE MODERN SMILES DENTISTRY AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "HETCKO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "303-449-0116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lafayette Modern Smiles Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Treccie Hebreo Ladaga-Wengryn, RN
• Lafayette Community Healthcare, LLC (Coal Creek Post Acute & Assisted Living)
• Lafayette Dental Partners, Prof. LLP (Comfort Dental Lafyette)
• Lafayette Eye Associates, P.C.
• Lafayette Medical Investors, LLC (Legacy at Lafayette)
• Lafayette Opco, LLC (Waneka Park Assisted Living)
• Lafayette Pediatrics and Internal Medicine
• Lafayette Psychology, LLC
• Lafayette Senior Living Opco LLC (Waneka Park Assisted Living Residence)
• Darla N Lafiette, PA-C

• General Practice Dentistry in Lafayette, CO
• Providers in Lafayette, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.