MEDICARE: MOUNTAIN DENTAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1275786527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNTAIN DENTAL PC

Provider Business Mailing Address
First Line	:	9800 W 59TH PL
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-5013
Country	:	US
Telephone Number	:	715-926-5050
Fax Number	:	715-926-4269

Provider Business Practice Location Address
First Line	:	9800 W 59TH PL
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-5013
Country	:	US
Telephone Number	:	715-926-5050
Fax Number	:	715-926-4269

Authorized Official
Title or Position	:	PROFESSIONAL SERVICES COORDINATOR
Name	:	MS. LORI PELKE
Credential	:
Telephone Number	:	715-926-5050

Provider Enumeration Date	:	10/30/2008
Last Update Date	:	10/30/2008

Similar Medicare Providers

1871649517 — UNIQUE PRINTS PEDIATRIC THERAPY SERVICES INC
Practice Location Address:

9830 W 59TH PL
ARVADA, CO
80004-5013

Practice Phone: 303-773-1034
Practice Fax: 303-773-1977

1558950345 — UNIQUE PRINTS PEDIATRIC THERAPY SERVICES INC
Practice Location Address:

9830 W 59TH PL
ARVADA, CO
80004-5013

Practice Phone: 303-773-1034
Practice Fax: 303-773-1977

1457129009 — UNIQUE PRINTS PEDIATRIC THERAPY SERVICES INC
Practice Location Address:

9830 W 59TH PL
ARVADA, CO
80004-5013

Practice Phone: 602-726-2300
Practice Fax:

1861324063 — LUKE POLITO DRUMRIGHT PA
Practice Location Address:

5923 ZANG CT
ARVADA, CO
80004-4036

Practice Phone: 303-478-1847
Practice Fax: 303-478-1847

1922442136 — MR. MICHAEL SCOTT RORICK
Practice Location Address:

12350 W 64TH AVE
ARVADA, CO
80004-4016

Practice Phone: 303-422-1476
Practice Fax: 303-403-2882

1598280588 — CHELSEA NICOLE ROBB PHARMD
Practice Location Address:

12350 W 64TH AVE
ARVADA, CO
80004-4016

Practice Phone: 303-422-1476
Practice Fax: 303-403-2882

Directions to “MOUNTAIN DENTAL PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.