Organization · Type 2 NPI

Pediatric Dental Group of Evergreen

Pediatric Dentistry · Evergreen, CO

NPI number 1619774528 Active

Practice location

30960 Stagecoach Blvd Ste W100
Evergreen, CO 80439-7902

Fax (303) 670-7071

Mailing address

15053 W 55th Dr
Golden, CO 80403-2923

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone 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

Other pediatric dentistry providers in Evergreen

See all in Evergreen →

About NPI 1619774528

Pediatric Dental Group of Evergreen's National Provider Identifier is 1619774528, issued on Feb 27, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Evergreen, CO. The record was last updated on Feb 27, 2025.