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
Phone: (720) 886-0808
Fax: (720) 886-0994
Website:
Authorized official contact:
Name: Hayutin, David Joel Doctor of Dental Surgery (DDS)
Phone: (720) 886-0808
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609875830 | NPPES |
| Colorado | MEDICAID | 38006219 |
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