Healthcare Provider Details

I. General information

NPI: 1700764255
Provider Name (Legal Business Name): COLORADO TMJ & FACIAL PAIN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10841 CROSSROADS DR STE 106
PARKER CO
80134-8089
US

IV. Provider business mailing address

10841 CROSSROADS DR STE 106
PARKER CO
80134-8089
US

V. Phone/Fax

Practice location:
  • Phone: 720-204-8393
  • Fax:
Mailing address:
  • Phone: 720-204-8393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223X2210X
TaxonomyOrofacial Pain Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ZAHRA SAMI SARABADANI
Title or Position: OWNER/PROVIDER
Credential:
Phone: 720-204-8393