OrganizationActive
Aurora Pediatric Dentistry, Prof. LLC
NPI 1609875830 · Pediatric Dentistry · Aurora, CO
Provider details
- NPI number
- 1609875830
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Authorized official
- David Hayutin, Manager
- License
- 915 (WY)
Practice location
5657 S Himalaya St
Ste 200
Aurora, CO 80015-5307
Phone: (720) 886-0808
Fax: (720) 886-0994
Mailing address
5657 S Himalaya St
Aurora, CO 80015-5307
Registry dates
- Enumerated
- 2005-07-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.