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Kids Tooth Doc
Pediatric Dentist in Englewood, Colorado
NPI 1689012122

Kids Tooth Doc is a Pediatric Dentist based in Englewood, CO and is specialized in Pediatric Dentistry. Kids Tooth Doc practices in Englewood, CO. The NPI Number for Kids Tooth Doc is 1689012122 and holds a License No. (Colorado).

The current practice location address for Kids Tooth Doc is 5168 S Broadway, Englewood, CO and can be reached out via phone at 303-974-5868.

Location: 5168 S Broadway, Englewood, CO, 80113-6706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689012122
Provider Name
Kids Tooth Doc
Credential
Provider Entity Type
Organization
Address
5168 S Broadway, Englewood, CO, 80113-6706
Phone Number
303-974-5868
Fax Number
Provider Enumeration Date
06/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92133312 05 CO
institution
Provider Business Practice Location Address Details
Address
5168 S Broadway
City
Englewood
State
Colorado
Zip
80113-6706
Phone Number
303-974-5868
Fax Number
person
Provider Business Mailing Address Details
Address
5168 S Broadway
City
Englewood
State
Colorado
Zip
80113-6706
Phone Number
303-974-5868
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(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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