Modern Dental Professionals Co, PC
Dentist, General Practice in Parker, CO. Organization (NPI-2).
NPI number1013288752
StatusActive
Last updated in NPPESJan 25, 2012
Details
- NPI
- 1013288752
- Entity type
- Organization (NPI-2)
- Legal business name
- Modern Dental Professionals Co, PC
- Organization subpart
- No
- Enumeration date
- Jan 25, 2012
- Last updated
- Jan 25, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Brightnow Parker (Doing Business As)
Practice location
11183 S Parker RdUnit C
Parker, CO 80134-4904
Phone 303-840-2204
Mailing address
11183 S Parker RdUnit C
Parker, CO 80134-4904
Phone 303-840-2204
Authorized official
Craig Mellor
President
7144282000
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