OrganizationActive
Pediatric Dental Group of Evergreen
NPI 1619774528 · Pediatric Dentistry · Evergreen, CO
Pediatric Dental Group of Evergreen is a Pediatric Dentistry organization in Evergreen, CO (NPI 1619774528).
Provider details
- NPI number
- 1619774528
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- David Strange, Owner(303) 588-7575
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30960 Stagecoach Blvd Ste W100
Evergreen, CO 80439-7902
Phone: (303) 670-7070
Fax: (303) 670-7071
Street-level locationGet directions
Mailing address
15053 W 55th Dr
Golden, CO 80403-2923
Registry dates
- Enumerated
- 2025-02-27
- Last updated
- 2025-02-27
- Certified
- 2025-02-27
Frequently asked questions
- What is Pediatric Dental Group of Evergreen's NPI number?
- Pediatric Dental Group of Evergreen's National Provider Identifier (NPI) is 1619774528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dental Group of Evergreen?
- Pediatric Dental Group of Evergreen is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dental Group of Evergreen located?
- Pediatric Dental Group of Evergreen's practice location on file with NPPES is 30960 Stagecoach Blvd Ste W100, Evergreen, CO 80439-7902.
- What is Pediatric Dental Group of Evergreen's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dental Group of Evergreen is (303) 670-7070.
- Who is the authorized official for Pediatric Dental Group of Evergreen?
- The authorized official listed on Pediatric Dental Group of Evergreen's NPPES record is David Strange, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dental Group of Evergreen's NPI active?
- Yes — Pediatric Dental Group of Evergreen's NPI (1619774528) is active in the NPPES registry as of the last update on 2025-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.