Children'S Dentistry, Boulder

LBN: Children'S Dentistry, Boulder
Children'S Dentistry, Boulder is an health care organization with primary practice located at 3400 Penrose Pl Ste 107 , Boulder CO 80301-1809. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Children'S Dentistry, Boulder can be contacted via phone (303) 443-8250, or through Whalen, Sean via phone (720) 226-6061.

Contact Information

Primary practice address
3400 Penrose Pl Ste 107 Boulder CO 80301-1809
Phone: (303) 443-8250
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whalen, Sean Doctor of Dental Surgery (DDS)
Phone: (720) 226-6061

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1578284550
LBN Legal business name Children'S Dentistry, Boulder
DBA Doing business as
Authorized official Whalen, Sean Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2022
Last updated Sep 7th, 2022 - about 3 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 1578284550 NPPES
Colorado MEDICAID 8954

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