AURORA PEDO DENTAL PLLC NPI 1346969730

NPI Information

NPI: 1346969730
Provider Name: AURORA PEDO DENTAL, PLLC

Doing Business As: GRIN PEDIATRIC DENTISTRY & ORTHODONTICS OF AURORA

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
18801 E HAMPDEN AVE STE 178
AURORA, CO
ZIP 80013
Phone: (720) 277-5930
Get Directions

AURORA PEDO DENTAL, PLLC is a pediatric dentistry dentist in Aurora, 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. AURORA PEDO DENTAL, PLLC NPI is 1346969730. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grin Pediatric Dentistry & Orthodontics Of Aurora.

The provider's business location address is:

18801 E HAMPDEN AVE STE 178
AURORA, CO
ZIP 80013-587
Phone: (720) 277-5930
Fax: (720) 241-7811

The provider's authorized official is Colton Flake .
The authorized official title is Managing Officer and has the following contact phone number (720) 579-8855.

The enumeration date for this NPI number is 8/26/2022 and was last updated on 9/25/2023.

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	1223P0221X	Dentist	Pediatric Dentistry			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	01928376	MEDICAID	COLORADO
2	35759046	MEDICAID	COLORADO
3	44075871	MEDICAID	COLORADO
4	9000182876	MEDICAID	COLORADO

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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