GLACIER PEAK DENTISTRY – NPI #1477018232
Clinic/Center

GLACIER PEAK DENTISTRY is an AHC clinic located in THORNTON, CO. NPPES has assigned the NPI number 1477018232 to GLACIER PEAK DENTISTRY on February 06, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GLACIER PEAK DENTISTRY” is a dba name, the actual legal business name for this organization is KANTOR DENTAL GROUP 2, PLLC. 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 7 years ago on Sep 05, 2019. 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 GLACIER PEAK DENTISTRY below.

NPI Profile for
KANTOR DENTAL GROUP 2, PLLC

NPI Number
1477018232
Enumeration Date

(more than 7 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
KANTOR DENTAL GROUP 2, PLLC
Doing Business As (dba): GLACIER PEAK DENTISTRY
Primary location
11979 HOLLY ST
THORNTON, CO 80233
Phone: (720) 739-0047 Fax:
Mailing address
10723 FAIRGROVE CT
HIGHLANDS RANCH, CO 80126-5749
Phone: (317) 270-0903 Fax:
Organization Subpart
No
Authorized Official
ERIC APPELSIES
PRESIDENT
Phone: (317) 270-0903
Updated
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.