Formosa Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FORMOSA DENTAL PLLC

Practice address

15389 W 91St Dr Ste 201
Arvada, CO 80007-1405

Phone

(720) 608-3988

Fax

(720) 608-8078

NPI assigned

Jul 21, 2026

Organization subpart

No

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

Authorized official

Name

Jeremy Chen, DDS

Title

Partner

Phone

(720) 608-3988

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1831010495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 CENTRAL AVE UNIT 523",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312984",
            "telephone_number": "720-608-3988",
            "fax_number": "720-608-8078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15389 W 91ST DR STE 201",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800071405",
            "telephone_number": "720-608-3988",
            "fax_number": "720-608-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMOSA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "720-608-3988",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Arvada, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.