<Unavail>

LBN: Front Range Pediatric Dentistry, Pllc
<Unavail> is an health care organization with primary practice located at 6160 Tutt Blvd Suite 140, Colorado Springs CO 80923-3500. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Front Range Pediatric Dentistry, Pllc can be contacted via phone (719) 550-1010, or through Miller, Derek via phone (719) 550-1010.

Contact Information

Primary practice address
6160 Tutt Blvd Suite 140 Colorado Springs CO 80923-3500
Phone: (719) 550-1010
Fax: (719) 550-1212
Website:
Map and Directions
Authorized official contact:
Name: Miller, Derek Doctor of Dental Surgery (DDS)
Phone: (719) 550-1010

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X DEN9841 Colorado

Profile Details

NPI number 1285021543
LBN Legal business name Front Range Pediatric Dentistry, Pllc
DBA Doing business as <Unavail>
Authorized official Miller, Derek Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2015
Last updated Apr 23rd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285021543 NPPES
Colorado MEDICAID 64479871

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