MEDICARE: DENTISTRY 360

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	00010276	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225485873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTISTRY 360

Provider Business Mailing Address
First Line	:	5140 W DARTMOUTH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80236-2007
Country	:	US
Telephone Number	:	720-596-4760
Fax Number	:	720-596-4943

Provider Business Practice Location Address
First Line	:	5140 W DARTMOUTH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80236-2007
Country	:	US
Telephone Number	:	720-596-4760
Fax Number	:	720-596-4943

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. SEMIRAMIDA CONDOIANIS
Credential	:	DDS
Telephone Number	:	720-596-4760

Provider Enumeration Date	:	05/24/2016
Last Update Date	:	05/24/2016

Similar Medicare Providers

1235499294 — DENTISTRY360
Practice Location Address:

5140 W DARTMOUTH AVE
DENVER, CO
80236-2007

Practice Phone: 720-596-4760
Practice Fax: 720-596-4943

1548889025 — NICHOLAS GRANT COLLINS DO
Practice Location Address:

1201 LARIMER ST
DENVER, CO
80204-2007

Practice Phone: 303-724-3483
Practice Fax:

1255074985 — OSAMA A HAMDI
Practice Location Address:

1201 LARIMER ST
DENVER, CO
80204-2007

Practice Phone: 225-324-1139
Practice Fax:

1376399006 — DENIZ BOZDAG DO
Practice Location Address:

1201 LARIMER ST
DENVER, CO
80204-2007

Practice Phone: 303-724-6019
Practice Fax:

1093719916 — DR. MARK KESSLER DDS
Practice Location Address:

3525 W OXFORD AVE , UNIT G-3
DENVER, CO
80236-3106

Practice Phone: 303-797-4260
Practice Fax:

1962493809 — BUCKEYE A, LLC
Practice Location Address:

3131 S. FEDERAL BLVD
DENVER, CO
80236-2713

Practice Phone: 303-761-0260
Practice Fax: 303-761-7088

Directions to “DENTISTRY 360 ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.