Healthcare Provider Details

I. General information

NPI: 1790654853
Provider Name (Legal Business Name): ROCKY MOUNTAIN YOUTH MEDICAL & NURSING CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9197 GRANT ST STE 200
THORNTON CO
80229-4337
US

IV. Provider business mailing address

9197 GRANT ST STE 200
THORNTON CO
80229-4337
US

V. Phone/Fax

Practice location:
  • Phone: 303-962-1511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number State

VIII. Authorized Official

Name: PAUL BROWN
Title or Position: OWNER
Credential:
Phone: 303-450-3690