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Colorado Kids Pediatric Dentistry
Pediatric Dentist in Lone Tree, Colorado
NPI 1407901754

Colorado Kids Pediatric Dentistry is a Pediatric Dentist based in Lone Tree, CO and is specialized in Pediatric Dentistry. Colorado Kids Pediatric Dentistry practices in Lone Tree, CO. The NPI Number for Colorado Kids Pediatric Dentistry is 1407901754 and holds a License No. 8330 (Colorado).

The current practice location address for Colorado Kids Pediatric Dentistry is 9227 E Lincoln Ave Ste 100, Lone Tree, CO and can be reached out via phone at 303-225-4715 and via fax at 303-688-6012.

Location: 9227 E Lincoln Ave Ste 100, Lone Tree, CO, 80124-5504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407901754
Provider Name
Colorado Kids Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
9227 E Lincoln Ave Ste 100, Lone Tree, CO, 80124-5504
Phone Number
303-225-4715
Fax Number
303-688-6012
Provider Enumeration Date
01/25/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215048806 01 CO KATHLEEN E. WAGUESPACK, DMD NPI
1427078435 01 CO LISA MEHELICH FOX, DDS NPI
institution
Provider Business Practice Location Address Details
Address
9227 E Lincoln Ave Ste 100
City
Lone Tree
State
Colorado
Zip
80124-5504
Phone Number
303-225-4715
Fax Number
303-688-6012
person
Provider Business Mailing Address Details
Address
9227 E Lincoln Ave Ste 100
City
Lone Tree
State
Colorado
Zip
80124-5504
Phone Number
303-225-4715
Fax Number
303-688-6012
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
8330 (Colorado)
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.
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