# CREEKSIDE COMMONS DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Creekside Premier Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255051710
- **Authorized official:** DARWIN FERNG (GENERAL DENTIST)
- **Authorized official phone:** (909) 569-2456

## Contact information

- **Practice address:** 6920 E 128TH AVE, SUITE 160, THORNTON, CO 80602
- **Practice address phone:** (909) 569-2456
- **Mailing address:** 3912 S WADSWORTH BLVD APT 310, LAKEWOOD, CO 80235-2269
- **Mailing address phone:** (909) 569-2456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2022
- **Last updated:** 09/05/2022