Grin Pediatric Dentistry & Orthodontics Of Aurora | |
18801 E Hampden Ave Ste 178 Aurora CO 80013-3587 | |
(720) 277-5930 | |
(720) 241-7811 |
Full Name | Grin Pediatric Dentistry & Orthodontics Of Aurora |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 18801 E Hampden Ave Ste 178, Aurora, Colorado |
Authorized Official Name and Position | Colton Flake (MANAGING OFFICER) |
Authorized Official Contact | 7205798855 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grin Pediatric Dentistry & Orthodontics Of Aurora 6870 S University Blvd Centennial CO 80122-1515 Ph: (720) 399-1227 | Grin Pediatric Dentistry & Orthodontics Of Aurora 18801 E Hampden Ave Ste 178 Aurora CO 80013-3587 Ph: (720) 277-5930 |
NPI Number | 1346969730 |
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Provider Enumeration Date | 08/26/2022 |
Last Update Date | 09/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346969730 | NPI | - | NPPES |
01928376 | Medicaid | CO | |
35759046 | Medicaid | CO | |
44075871 | Medicaid | CO | |
9000182876 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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