Organization · Type 2 NPI

Kids Tooth Doc

Pediatric Dentistry · Englewood, CO

NPI number 1689012122 Active

Practice location

5168 S Broadway
Englewood, CO 80113-6706

Specialties and licenses

Taxonomy	Code	License
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 Englewood

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NPI record

NPI: 1689012122
Entity type: Organization (Type 2)
Issued: Jun 6, 2013
Last updated: Dec 3, 2024
Status: Active

Other names

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Rocky Mountain Kids Dentistry · doing business as
Childrens Dental Specialist of Colorado · former legal business name

Authorized official

Brian Fox
Manager
(303) 947-7705

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 1689012122

Kids Tooth Doc's National Provider Identifier is 1689012122, issued on Jun 6, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Englewood, CO. The record was last updated on Dec 3, 2024.