Organization · Type 2 NPI

My Local Colorado Dental Practice, LLC

General Practice Dentistry · Lakewood, CO

NPI number 1245870336 Active

Practice location

264 Union Blvd Ste 200
Lakewood, CO 80228-1970

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

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.

Another provider at this address

Ryan Cable, DDSDentist Lakewood, CO NPI 1780894923

Other general practice dentistry providers in Lakewood

See all in Lakewood →

NPI record

NPI: 1245870336
Entity type: Organization (Type 2)
Issued: Jan 7, 2020
Last updated: Jan 7, 2020
Status: Active
Subpart: Yes of My Local Colorado Dental Practice, LLC

Other names

Mile High Dental and Implant Centers · doing business as

Authorized official

Michelle Johnson
Credentialing Specialist
(509) 315-8338

Verify this record

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.

Is this your record? How to update it.

About NPI 1245870336

My Local Colorado Dental Practice, LLC's National Provider Identifier is 1245870336, issued on Jan 7, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lakewood, CO. The record was last updated on Jan 7, 2020.