Colorado Dental Professionals, LLC
NPI 1578101200ActiveOrganization· Dentist, General Practice· Centennial, CO
Dentist, General Practice in Centennial, Colorado, registered in NPPES in December 2019, part of Colorado Dental Professionals, LLC. The authorized official on file is Tabatha Lemke, Credentialing Coordinator.
Overview
| NPI | 1578101200 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Colorado Dental Professionals, LLC |
| NPI issued | Dec 12, 2019 |
| Last updated in NPPES | Dec 12, 2019 |
| Certified by provider | Dec 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in Centennial
- 1124874557
- 1306712898
- 1376353045
- 1225653504
- 1558870188
- 1770791790
- 1417032244
- 1790921807
- 1144398629
- 1265237424
- 1104223817
- 1841678414