Healthcare Provider Details

I. General information

NPI: 1427848795
Provider Name (Legal Business Name): 20 MILE CASTLE ROCK, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 DACORO LN STE 145
CASTLE ROCK CO
80109-2514
US

IV. Provider business mailing address

11989 HOLLY ST
THORNTON CO
80233-1802
US

V. Phone/Fax

Practice location:
  • Phone: 720-733-0353
  • Fax:
Mailing address:
  • Phone: 316-706-9318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDON SCHEER
Title or Position: OWNER
Credential: DDS, MSD
Phone: 316-706-9318