Aurora Pediatric Dentistry, Prof. Llc

LBN: Aurora Pediatric Dentistry, Prof. Llc
Aurora Pediatric Dentistry, Prof. Llc is an health care organization with primary practice located at 5657 S Himalaya St Ste 200, Aurora CO 80015-5307. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Aurora Pediatric Dentistry, Prof. Llc can be contacted via phone (720) 886-0808, or through Hayutin, David Joel via phone (720) 886-0808.

Contact Information

Primary practice address
5657 S Himalaya St Ste 200 Aurora CO 80015-5307
Fax: (720) 886-0994
Website:
Authorized official contact:
Name: Hayutin, David Joel Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6181 Colorado
Dental Providers / Pediatric Dentistry 1223P0221X 915 Wyoming

Profile Details

NPI number 1609875830
LBN Legal business name Aurora Pediatric Dentistry, Prof. Llc
DBA Doing business as
Authorized official Hayutin, David Joel Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609875830 NPPES
Colorado MEDICAID 38006219

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