Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Mesa Dentistry at Southglenn

Organization Dentist · NPI 1881747319

Blue Mesa Dentistry at Southglenn provides Dentist services in Centennial, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
Specialties on file
2

Practice location Address checks out

2001 E Easter Ave #200
Centennial, CO 80122
Phone: (303) 703-4544
Fax: (303) 703-3610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6372 (CO)
Dentist Taxonomy 122300000X · Licence 6619 (CO)

Record details

NPI number1881747319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marissa Nicholson — Office Manager · (303) 703-4544
NPI enumeratedJanuary 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2001 E Easter Ave, 200, Centennial, CO 80122

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