| 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 |
|---|---|
| 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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