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SHINING STARS KIDS DENTISTRY PC NPI 1306136221


NPI Information

NPI: 1306136221
Provider Name: SHINING STARS KIDS DENTISTRY PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6999 W. ALASKA DR.
LAKEWOOD, CO
ZIP 80226
Phone: (303) 237-2300
Get Directions

SHINING STARS KIDS DENTISTRY PC is a general practice dentist in Lakewood, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SHINING STARS KIDS DENTISTRY PC NPI is 1306136221. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6999 W. ALASKA DR.
LAKEWOOD, CO
ZIP 80226
Phone: (303) 237-2300
Fax: (303) 237-4880

The provider's authorized official is Lawrence Musanje .
The authorized official title is Dentist/owner and has the following contact phone number (303) 237-2300.

The enumeration date for this NPI number is 4/12/2011 and was last updated on 10/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeNo
21223G0001XDentistGeneral Practice9842COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152024326MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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