Lincoln Center Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LINCOLN CENTER DENTAL PLLC

Practice address

12501 E Lincoln Ave Unit 102
Englewood, CO 80112-4753

Phone

(303) 768-8137

NPI assigned

Sep 25, 2018

Organization subpart

No

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

Authorized official

Name

Tanner Applegate

Title

Ceo

Phone

(505) 860-9622

Specialties & licenses 1

Addresses

Other names 1

• Lincoln Center Dental Doing business as

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1780168815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 E LINCOLN AVE UNIT 102",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124753",
            "telephone_number": "303-768-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 E LINCOLN AVE UNIT 102",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801124753",
            "telephone_number": "303-768-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN CENTER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "TANNER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-860-9622"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Center Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gail Lily
• Suzy Ann Lim, M.D.
• Thomas W Lim, MD
• Johanna Lima
• Linc MD, PLLC
• Lauren Victoria Linden, CNM
• Melissa Linden
• Melanie Lindley, APN, NP-C
• Sharmila Lingam-Nattamai, M.D.
• Miah Lingelbach, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.