Organization · Type 2 NPI

Colorado Kids Pediatric Dentistry

Pediatric Dentistry · Lone Tree, CO

NPI number 1407901754 Active

Practice location

9227 E Lincoln Ave Ste 100
Lone Tree, CO 80124-5504

Fax (303) 688-6012

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	8330 (CO)
Pediatric Dentistry	1223P0221X	00201980 (CO)
Pediatric Dentistry	1223P0221X	674 (CO)

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.

Other pediatric dentistry providers in Lone Tree

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NPI record

NPI: 1407901754
Entity type: Organization (Type 2)
Issued: Jan 25, 2007
Last updated: Jun 23, 2020
Status: Active
Subpart: Yes of Colorado Kids Pediatric Dentistry

Other names

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Drs. Fox, Waguespack & Norwood · doing business as
Drs. Fox, Waguespack & Norwood · doing business as

Authorized official

Dr. Lisa Mehelich Fox, DDS
Owner/operator
(303) 791-4400

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 1407901754

Colorado Kids Pediatric Dentistry's National Provider Identifier is 1407901754, issued on Jan 25, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lone Tree, CO. The record was last updated on Jun 23, 2020.