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NPI 1467828905

OrganizationActive

5280 Pediatric Dentistry

NPI 1467828905 · Pediatric Dentistry · Lone Tree, CO

Provider details

NPI number: 1467828905
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Authorized official: Derek Owens, Owner
License: 0020124 (CO)

Practice location

10463 Park Meadows Dr

Suite 206

Lone Tree, CO 80124-5316

Phone: (303) 601-5280

More CO providers

Mailing address

10463 Park Meadows Dr

Lone Tree, CO 80124-5316

Registry dates

Enumerated: 2015-08-19
Last updated: 2015-08-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

5280 Pediatric Dentistry — NPI 1467828905, Lone Tree, CO | NPI Central