Organization · Type 2 NPI

Pedo Two, Prof. LLC

Pediatric Dentistry · Lakewood, CO

NPI number 1114166865 Active

Practice location

7475 W Colfax Ave Ste 103
Lakewood, CO 80214-5425

Call (720) 512-2879 Map

Fax (720) 241-7811

Mailing address

6870 S University Blvd
Centennial, CO 80122-1515

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.

Another provider at this address

Lakewood Grin Ortho, PLLCOrthodontics and Dentofacial Orthopedics Dentistry Lakewood, CO NPI 1740028455

Other pediatric dentistry providers in Lakewood

See all in Lakewood →

NPI record

NPI: 1114166865
Entity type: Organization (Type 2)
Issued: Feb 19, 2009
Last updated: Sep 25, 2023
Status: Active

Other names

<unavail>
Comfort Dental Kids - Lakewood · doing business as
Comfort Dental Kids - Lakewood · doing business as
Comfort Dental Kids West · doing business as
Grin Pediatric Dentistry & Orthodontics · doing business as

Authorized official

Colton Flake, DDS
President
(720) 277-5930

Verify this record

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 1114166865

Pedo Two, Prof. LLC's National Provider Identifier is 1114166865, issued on Feb 19, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lakewood, CO. The record was last updated on Sep 25, 2023.