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Imagine Kids Dentistry Pllc
Dental Clinic/Center in Fountain, Colorado
NPI 1336786250

Imagine Kids Dentistry Pllc is a Dental Clinic/Center based in Colorado Springs, CO and is specialized in Dental. Imagine Kids Dentistry Pllc practices in Fountain, CO. The NPI Number for Imagine Kids Dentistry Pllc is 1336786250 and holds a License No. (Colorado).

The current practice location address for Imagine Kids Dentistry Pllc is 6620 Camden Blvd, Fountain, CO and can be reached out via phone at 719-722-4999.

Location: 6620 Camden Blvd, Fountain, CO, 80924-2083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336786250
Provider Name
Imagine Kids Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
6620 Camden Blvd, Fountain, CO, 80924-2083
Phone Number
719-722-4999
Fax Number
Provider Enumeration Date
12/10/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
6620 Camden Blvd
City
Fountain
State
Colorado
Zip
80817-2505
Phone Number
719-722-4999
Fax Number
person
Provider Business Mailing Address Details
Address
6620 Camden Blvd
City
Fountain
State
Colorado
Zip
80817-2505
Phone Number
719-722-4999
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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