Dental Specialty Center of Falcon LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SPECIALTY CENTER OF FALCON LLC

Doing business as

Dental Specialty Center of Falcon

Practice address

7520 Bierstadt HTS Ste 125
Falcon, CO 80831-6177

Phone

(719) 654-0105

Fax

(719) 218-9013

NPI assigned

Apr 13, 2023

Organization subpart

No

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

Authorized official

Name

Andre Shook

Title

Owner/Operator

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Dental Specialty Center of Falcon Doing business as

Locations

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1750077798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 BIERSTADT HTS STE 125",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808316177",
            "telephone_number": "719-654-0105",
            "fax_number": "719-218-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 BIERSTADT HTS STE 125",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808316177",
            "telephone_number": "719-654-0105",
            "fax_number": "719-218-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALTY CENTER OF FALCON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialty Center of Falcon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colorado Dental Orthodontist Practice, PLLC (Woodmen Orthodontics)
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• Michael Conner, LCSW
• Christina Dai, PHARMD
• Suzanne Daughhetee
• Dentists of Falcon and Orthodontics, LLP (Dentists of Falcon and Orthodontics)
• Dillon Companies LLC (King Soopers Pharmacy #147)
• Debra Diane Edwards, P.T.
• Falcon Chiropractic Wellness Center
• Falcon Dental Care PC

• General Practice Dentistry in Falcon, CO
• Providers in Falcon, 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 Apr 13, 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.