CREEKSIDE COMMONS DENTISTRY PLLC – NPI #1255051710
Clinic/Center

CREEKSIDE COMMONS DENTISTRY PLLC is an AHC clinic located in THORNTON, CO. NPPES has assigned the NPI number 1255051710 to CREEKSIDE COMMONS DENTISTRY PLLC on September 02, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 4 years ago on Sep 05, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CREEKSIDE COMMONS DENTISTRY PLLC below.

NPI Profile for
CREEKSIDE COMMONS DENTISTRY PLLC

NPI Number
1255051710
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CREEKSIDE COMMONS DENTISTRY PLLC
Primary location
6920 E 128TH AVE
SUITE 160
THORNTON, CO 80602
Phone: (909) 569-2456 Fax:
Mailing address
3912 S WADSWORTH BLVD APT 310
LAKEWOOD, CO 80235-2269
Phone: (909) 569-2456 Fax:
Organization Subpart
No
Authorized Official
DARWIN FERNG
GENERAL DENTIST
Phone: (909) 569-2456
Updated
Certification Date
Sep 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.