Healthcare Provider Details

I. General information

NPI: 1982579454
Provider Name (Legal Business Name): AURORA DENTAL CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14591 E ALAMEDA AVE
AURORA CO
80012-2601
US

IV. Provider business mailing address

7111 W ALAMEDA AVE. STE J #4003
LAKEWOOD CO
80226
US

V. Phone/Fax

Practice location:
  • Phone: 720-679-9903
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JASPAL SINGH
Title or Position: MANAGER
Credential:
Phone: 720-679-9903