Pediatric Dental Group Of Lakewood

LBN: Pediatric Dental Group Of Lakewood
Pediatric Dental Group Of Lakewood is an health care organization with primary practice located at 3333 S Wadsworth Blvd Unit B104 , Lakewood CO 80227-5120. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty. Pediatric Dental Group Of Lakewood can be contacted via phone (303) 984-9700, or through Hartshorn, Nicole E via phone (720) 338-9778.

Contact Information

Primary practice address
3333 S Wadsworth Blvd Unit B104 Lakewood CO 80227-5120
Phone: (303) 984-9700
Fax: (303) 985-2490
Website:
Map and Directions
Authorized official contact:
Name: Hartshorn, Nicole E
Phone: (720) 338-9778

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1720214638
LBN Legal business name Pediatric Dental Group Of Lakewood
DBA Doing business as
Authorized official Hartshorn, Nicole E
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2009
Last updated Jun 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 1720214638 NPPES
Colorado MEDICAID 44332866
Colorado MEDICAID 02006518
Colorado MEDICAID 02078434
Colorado MEDICAID 38371847
Colorado MEDICAID 83777709

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