My Dentist Inc. in Thornton - General Practice
My Dentist Inc. - NPI 1861663668
My Dentist Inc. is a General Practice in Thornton, Colorado. My Dentist Inc. practices all healthcare services and medical treatments related to General Practice. The NPI Number for My Dentist Inc. is 1861663668. The last update date is 2008-03-19.
My Dentist Inc.'s current location address is 3955 E 120th Ave Ste B, Thornton, Colorado. You can contact this provider via phone number 3032554855 and fax number 3033397912. The mailing address for My Dentist Inc. is 3955 E 120th Ave Ste B, Thornton, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | My Dentist Inc. |
|---|---|
| Address | 3955 E 120th Ave Ste B, Thornton, Colorado |
| Phone Number | 3032554855 |
| Fax Number | 3033397912 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Krainik Gregory |
| Credentials | DDS |
| Telephone Number | 3032554855 |
NPI Number Detail
| NPI Number | 1861663668 |
|---|---|
| Provider Enumeration Date | 2008-03-19 |
| Last Updated Date | 2008-03-19 |
Provider Mailing Address Detail
| Address | 3955 E 120th Ave Ste B |
|---|---|
| City | Thornton |
| State | Colorado (CO) |
| Post Code | 802332075 |
| Phone Number | 3032554855 |
| Fax Number | 3033397912 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4900-10-01 0 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4947T | NV | STATE LICSENCE |
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What is the unique identifier code issued to My Dentist Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The My Dentist Inc. has been assigned the NPI (National Provider Identifier) 1861663668. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the My Dentist Inc. located?
The My Dentist Inc. is located at 3955 E 120Th Ave Ste B, Thornton, CO 802332075.
What is My Dentist Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The My Dentist Inc.'s area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861663668 to My Dentist Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1861663668 to My Dentist Inc. on 2008-03-19.
As of what date were the details related to My Dentist Inc. most recently updated or revised?
The information pertaining to My Dentist Inc., including its address, specialty, and other relevant details, was last updated or revised on 2008-03-19.
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