MOUNTAIN VALLEY KIDS DENTAL PLLC NPI 1083113765

NPI Information

NPI: 1083113765
Provider Name: MOUNTAIN VALLEY KIDS DENTAL, PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
105 EDWARDS VILLAGE BLVD., #D-202
PO BOX 41
EDWARDS, CO
ZIP 81632
Phone: (303) 883-1748
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MOUNTAIN VALLEY KIDS DENTAL, PLLC is a pediatric dentistry dentist in Edwards, 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. MOUNTAIN VALLEY KIDS DENTAL, PLLC NPI is 1083113765. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 EDWARDS VILLAGE BLVD., #D-202
PO BOX 41
EDWARDS, CO
ZIP 81632
Phone: (303) 883-1748

The provider's authorized official is D. Michael Tobler .
The authorized official title is Owner and has the following contact phone number (303) 883-1748.

The enumeration date for this NPI number is 2/7/2018 and was last updated on 2/7/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist				No
2	1223G0001X	Dentist	General Practice			No
3	1223P0221X	Dentist	Pediatric Dentistry	9691	COLORADO	Yes

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: 5/5/2024

NPI Synchronization or Removal

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