Comfort Dental Kids - Lakewood
LBN: Pedo Two, Prof. Llc
Comfort Dental Kids - Lakewood is an health care organization with primary practice located at 7475 W Colfax Ave Ste 103 , Lakewood CO 80214-5425. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Pedo Two, Prof. Llc can be contacted via phone (720) 512-2879, or through Flake, Colton via phone (720) 277-5930.
Contact Information
Primary practice address
7475 W Colfax Ave Ste 103
Lakewood CO 80214-5425
Phone: (720) 512-2879
Fax: (720) 241-7811
Website:
Authorized official contact:
Name: Flake, Colton Doctor of Dental Surgery (DDS)
Phone: (720) 277-5930
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10630 | Colorado |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 10630 | Colorado |
| Dental Providers / Pediatric Dentistry | 1223P0221X |
Profile Details
| NPI number | 1114166865 |
|---|---|
| LBN Legal business name | Pedo Two, Prof. Llc |
| DBA Doing business as | Comfort Dental Kids - Lakewood |
| Authorized official | Flake, Colton Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 19th, 2009 |
| Last updated | Sep 25th, 2023 - about last year |
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 | 1114166865 | NPPES |
| Colorado | MEDICAID | 01928376 |
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