AWESOME SMILES P.C. NPI 1609904101

NPI Information

AWESOME SMILES, P.C. is a pediatric dentistry dentist in Loveland, 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. AWESOME SMILES, P.C. NPI is 1609904101. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Awesome Pedodontics.

The provider's business location address is:

2700 MADISON SQUARE DR
LOVELAND, CO
ZIP 80538-385
Phone: (970) 669-1122
Fax: (970) 669-1984

The provider's authorized official is Tobias M. Derloshon .
The authorized official title is President and has the following contact phone number (970) 669-1122.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 5/13/2014.

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:

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