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PEDO THREE PROF. LLC NPI 1487190393


NPI Information

NPI: 1487190393
Provider Name: PEDO THREE PROF. LLC

Doing Business As: COMFORT KIDS - THORNTON

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
9652 WASHINGTON ST
THORNTON, CO
ZIP 80229
Phone: (720) 277-5930
Get Directions

PEDO THREE PROF. LLC is a pediatric dentistry dentist in Thornton, CO. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDO THREE PROF. LLC NPI is 1487190393. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Comfort Kids - Thornton.

The provider's business location address is:

9652 WASHINGTON ST
THORNTON, CO
ZIP 80229-160
Phone: (720) 277-5930
Fax: (877) 444-4055

The provider's authorized official is Colton Flake .
The authorized official title is Owner and has the following contact phone number (720) 277-5930.

The enumeration date for this NPI number is 1/17/2017 and was last updated on 1/17/2017.


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
1122300000XDentist10630COLORADONo
21223P0221XDentistPediatric Dentistry10630COLORADOYes

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
144075871MEDICAIDCOLORADO

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: 4/28/2024

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