Lawrence Musanje, DDS
Individual provider Active NPI Dentist · Lakewood, CO
NPI 1740429752 · NPPES record last updated Sep 25, 2013
Key facts
- NPI
- 1740429752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DEN-9842 (CO)
- Practice address
- 6999 W Alaska Dr
Lakewood, CO 80226-3223 - Phone
- (303) 237-2300
- NPI assigned
- Feb 13, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-9842 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shining Stars Kids Dentistry PC | Past | Accepting new patients | |
| Bright Star Kids Dentistry PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN-9842 | CO | Yes |
Addresses
Primary practice location
6999 W Alaska Dr
Lakewood, CO 80226-3223
Mailing address
6999 W Alaska Dr
Lakewood, CO 80226-3223
Phone (303) 237-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52024326 | Medicaid | CO |
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.