Organization · Type 2 NPI

Modern Dental Profesionals Co PC

General Practice Dentistry · Castle Rock, CO

NPI number 1124409552 Active

Practice location

188 Founders Pkwy # A
Castle Rock, CO 80104-7528

Call (303) 688-0252 Map

Fax (303) 660-9872

Mailing address

PO Box 25153
Santa Ana, CA 92799-5153

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	105734 (CO)

General Practice Dentistry: 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.

Other general practice dentistry providers in Castle Rock

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NPI record

NPI: 1124409552
Entity type: Organization (Type 2)
Issued: Jun 11, 2015
Last updated: Jun 11, 2015
Status: Active
Subpart: Yes of Modern Dental Profesionals Co PC

Other names

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Brightn Now Dental - Castle Rock · doing business as

Authorized official

Craig Mellor, DDS
PC Owner
(303) 209-2250

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124409552

Modern Dental Profesionals Co PC's National Provider Identifier is 1124409552, issued on Jun 11, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Castle Rock, CO. The record was last updated on Jun 11, 2015.