Colorado Dental Health Care Specialists, PLLC

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

579 Issued in CO

Legal business name

COLORADO DENTAL HEALTH CARE SPECIALISTS, PLLC

Practice address

2005 Franklin St
Suite 590, Building 2
Denver, CO 80205-5401

Phone

(303) 832-8655

Fax

(303) 863-7851

NPI assigned

Feb 20, 2007

Last updated

Jul 9, 2008By 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

Mac McAllister

Title

Manager

Phone

(303) 832-8633

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1841335700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 FRANKLIN ST",
            "address_2": "SUITE 590, BUILDING 2",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055401",
            "telephone_number": "303-832-8655",
            "fax_number": "303-863-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 FRANKLIN ST",
            "address_2": "SUITE 590, BUILDING 2",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055401",
            "telephone_number": "303-832-8655",
            "fax_number": "303-863-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO DENTAL HEALTH CARE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "MAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-832-8633"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CO",
            "license": "579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Colorado Dental Professionals, LLC (Havens Dental Care)
• Colorado Dental Providers
• Colorado Dental Specialist Practice, LLC (Colorado Dental Specialists)

• Oral and Maxillofacial Pathology Dentistry in Denver, CO
• Providers in Denver, CO by specialty
• Oral and Maxillofacial Pathology Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.