MEDICARE: STONEHENGE DENTAL CLINIC, LLC

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	3536	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	:	1366749467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STONEHENGE DENTAL CLINIC, LLC

Provider Business Mailing Address
First Line	:	12331 E CORNELL AVE
Second Line	:	#20
City	:	AURORA
State	:	CO
Zip	:	80014-3323
Country	:	US
Telephone Number	:	303-745-7777
Fax Number	:	303-755-9014

Provider Business Practice Location Address
First Line	:	12331 E CORNELL AVE
Second Line	:	#20
City	:	AURORA
State	:	CO
Zip	:	80014-3323
Country	:	US
Telephone Number	:	303-745-7777
Fax Number	:	303-755-9014

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	DR. JAMES R. BARTLETT SR.
Credential	:	D.D.S.
Telephone Number	:	303-745-7777

Provider Enumeration Date	:	02/25/2011
Last Update Date	:	02/25/2011

Similar Medicare Providers

1922137066 — DAVID ALLEN HEDRICK D.D.S.
Practice Location Address:

12357 E CORNELL AVE , #10
AURORA, CO
80014-3323

Practice Phone: 303-337-5800
Practice Fax:

1992910426 — DR. HAN S. PYO DMD
Practice Location Address:

12393 E CORNELL AVE , SUITE NUMBER 2
AURORA, CO
80014-3323

Practice Phone: 303-755-1168
Practice Fax:

1457567653 — CHERRY CREEK PHYSICAL THERAPY, PC
Practice Location Address:

12371 E CORNELL AVE , BUILDING 15
AURORA, CO
80014-3323

Practice Phone: 303-962-2298
Practice Fax:

1376702787 — TICKET TO SMILES PC
Practice Location Address:

12373 E CORNELL AVE # 16
AURORA, CO
80014-3323

Practice Phone: 303-750-7750
Practice Fax:

1770918559 — MR. EDWARD TODD ADDLESON BCBA
Practice Location Address:

12331 E CORNELL AVE
AURORA, CO
80014-3323

Practice Phone: 720-507-5226
Practice Fax: 720-368-5139

1588029961 — FRONT RANGE HOME CARE SERVICES
Practice Location Address:

12391 E CORNELL AVE
AURORA, CO
80014-3323

Practice Phone: 720-496-0044
Practice Fax: 720-440-7788

Directions to “STONEHENGE DENTAL CLINIC, LLC ” 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 © 2007-2025 (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.