OrganizationActive
Advanced Dental Center
NPI 1467868596 · General Practice Dentistry · Federal Heights, CO
Provider details
- NPI number
- 1467868596
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jason Van Wagenen, Partner(303) 426-4860
- License
- 8478 (CO)
Specialties & taxonomies
Dental Providers
Practice location
1557 W 84th Ave Unit 1
Federal Heights, CO 80260-4780
Phone: (303) 426-4860
Fax: (303) 426-1530
Approximate (ZIP-level) locationGet directions
Mailing address
1557 W 84th Ave Unit 1
Federal Heights, CO 80260-4780
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2015-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.