Provider Demographics
NPI:1376655985
Name:CASTLE PINES FAMILY DENTISTRY
Entity Type:Organization
Organization Name:CASTLE PINES FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEICH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-733-7799
Mailing Address - Street 1:562 E CASTLE PINES PKWY
Mailing Address - Street 2:SUITE C-8
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-4609
Mailing Address - Country:US
Mailing Address - Phone:720-733-7799
Mailing Address - Fax:720-733-0677
Practice Address - Street 1:562 E CASTLE PINES PKWY
Practice Address - Street 2:SUITE C-8
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-4609
Practice Address - Country:US
Practice Address - Phone:720-733-7799
Practice Address - Fax:720-733-0677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8439122300000X
CO8440122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty