Organization · Type 2 NPI

Pedo Three, Prof. LLC

Pediatric Dentistry · Centennial, CO

NPI number 1114166857 Active

Practice location

6870 S University Blvd
Centennial, CO 80122-1515

Call (720) 277-5930 Map

Fax (720) 241-7811

Mailing address

6870 S University Blvd Ste O
Centennial, CO 80122-1515

Other practice locations

8223 S Quebec St, Suite O, Centennial, CO 80112-4415 · (720) 277-5930

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	10630 (CO)
Pediatric Dentistry	1223P0221X	10630 (CO)
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: 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.

2 other providers at this address

Other pediatric dentistry providers in Centennial

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NPI record

NPI: 1114166857
Entity type: Organization (Type 2)
Issued: Feb 18, 2009
Last updated: Sep 12, 2023
Status: Active

Other names

<unavail>
Comfort Dental Kids Centennial · doing business as
Grin Pediatric Dentistry & Orthodontics of Centennial · doing business as

Authorized official

Dr. Colton Flake, DDS
President
(720) 277-5930

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114166857

Pedo Three, Prof. LLC's National Provider Identifier is 1114166857, issued on Feb 18, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Centennial, CO. The record was last updated on Sep 12, 2023.