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Active NPI 1679362180 Individual Practitioner Male Practitioner

Dr. Maxim A Kondratenko , DDS

Dentist • Delta, CO

Professional Overview & Biography Verified Profile Summary

Dr. Maxim Kondratenko, DDS is a certified Dentist practicing in Delta, CO. With approximately 1 years of clinical experience since graduating from University Of Colorado School Of Dentistry in 2025, Dr. Kondratenko delivers high-quality medical care to the local community at 1250 VALLEY VIEW DR.

Dr. Kondratenko does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1250 Valley View Dr

Delta, CO 814163138

Telephone 9708748981
Fax 8552997586
Associated Practice Facility / Clinic
🏢 Olathe Community Clinic Inc Facility NPI 1558886218

Medicare Profile & Education

Medical School

University Of Colorado School Of Dentistry

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Delta, CO

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs Matches City Avg
City Avg: 1.0 Yrs
State Avg: 9.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Delta, CO (2100 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kondratenko (1 Years) 1 Yrs
Delta Specialty Average (1.0 Years) 1.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CO DEN.00206311

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
900246427 (CO)

Secondary Practice Locations

1010 S Rio Grande Ave

Montrose, CO 814014831

Phone: 9704973333

308 Main St

Olathe, CO 814255066

Phone: 9703236141

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Tasha Gibson , RDH

Dental Hygienist

NPI 1063967081

Registered Dental Hygienist

Larissa Umberger , PA-S3

Physician Assistant

NPI 1093564932

PAS3

Dawn Capewell , MSW

Counselor - Mental Health

NPI 1124194725

Master of Social Work

Kimberly Turecek , FNP

Nurse Practitioner - Family

NPI 1164700688

Family Nurse Practitioner

Mathew Mccullough , PA-C

Physician Assistant - Medical

NPI 1184189425

Physician Assistant (Certified)

Jacqueline Jeffreys , PSYS

Counselor - Mental Health

NPI 1194741736

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2025

Dentist (License #DEN.00206311 in CO)

NPI Profile Active May 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2025

Registered at 1250 VALLEY VIEW DR, DELTA, CO 814163138 (Tel: 9708748981)

📍
Updated Business Mailing Address May 01, 2025

Registered at PO BOX 529, OLATHE, CO 814250529 (Tel: 9703236141)

👤
Provider Name / Credentials Updated May 01, 2025

Recorded as MAXIM KONDRATENKO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2025

Dentist (License #DEN.000000 in CO)

🟢
Initial NPI Registration & Enumeration May 01, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679362180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2025
Last Update: January 16, 2026
Sole Proprietor: No

Mailing Address

Po Box 529

Olathe, CO 814250529

Phone: 9703236141

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.