Uptown Smiles

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

202280 Issued in CO

Legal business name

UPTOWN SMILES

Practice address

209 Bert St
Delta, CO 81416-2274

Phone

(303) 588-7864

NPI assigned

Oct 20, 2015

Organization subpart

No

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

Authorized official

Name

Debbie Jean McMahan, RDH

Title

Dental Hygienist

Phone

(303) 588-7864

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1891167656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BERT ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162274",
            "telephone_number": "303-588-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BERT ST",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162274",
            "telephone_number": "303-588-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "MCMAHAN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "303-588-7864",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "202280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Hygienist in Delta, CO
• Providers in Delta, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.