Healthcare Provider Details

I. General information

NPI: 1447187141
Provider Name (Legal Business Name): PRADERA DENTAL, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 IRIS DR
STERLING CO
80751-4740
US

IV. Provider business mailing address

801 IRIS DR
STERLING CO
80751-4740
US

V. Phone/Fax

Practice location:
  • Phone: 970-522-4050
  • Fax: 970-522-4067
Mailing address:
  • Phone: 970-522-4050
  • Fax: 970-522-4067

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. CARLY N SCHRADE
Title or Position: OWNER
Credential: DDS
Phone: 970-522-4050