OrganizationActive
Advanced Dental Center, PLLC
NPI 1417714809 · General Practice Dentistry · Federal Heights, CO
Provider details
- NPI number
- 1417714809
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Lydiatt, Owner(719) 300-5933
Specialties & taxonomies
Dental Providers
Practice location
1557 W 84th Ave Ste 1
Federal Heights, CO 80260-4780
Phone: (303) 426-4860
Fax: (719) 414-0027
Approximate (ZIP-level) locationGet directions
Mailing address
1557 W 84th Ave Ste 1
Federal Heights, CO 80260-4780
Other names (DBA / former)
- Doing business as
- Advanced Dental Center
- Doing business as
- Advanced Dental Center
Registry dates
- Enumerated
- 2024-03-01
- Last updated
- 2024-08-30
- Certified
- 2024-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.