Healthcare Provider Details

I. General information

NPI: 1699625814
Provider Name (Legal Business Name): THE DENTAL CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12880 COLORADO BLVD STE 230
THORNTON CO
80241-2162
US

IV. Provider business mailing address

12880 COLORADO BLVD STE 230
THORNTON CO
80241-2162
US

V. Phone/Fax

Practice location:
  • Phone: 303-457-1513
  • Fax: 303-280-2922
Mailing address:
  • Phone: 303-457-1513
  • Fax: 303-280-2922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN OLIVIER
Title or Position: OWNER/DDS
Credential: DDS
Phone: 303-886-1888