Childrens Dental Specialist Of Colorado

LBN: Kids Tooth Doc
Childrens Dental Specialist Of Colorado is an health care organization with primary practice located at 5168 S Broadway , Englewood CO 80113-6706. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Kids Tooth Doc can be contacted via phone (303) 974-5868, or through Fox, Brian via phone (303) 947-7705.

Contact Information

Primary practice address
5168 S Broadway Englewood CO 80113-6706
Phone: (303) 974-5868
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fox, Brian
Phone: (303) 947-7705

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X Colorado

Profile Details

NPI number 1689012122
LBN Legal business name Kids Tooth Doc
DBA Doing business as Childrens Dental Specialist Of Colorado
Authorized official Fox, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2013
Last updated Dec 27th, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689012122 NPPES
Colorado MEDICAID 92133312

Popular Providers