| Foothills Pediatric Dentistry, P.c. | |
|
1140 W South Boulder Rd Ste 102 Lafayette CO 80026-8910 | |
| (303) 604-9500 | |
| (303) 604-9540 |
| Full Name | Foothills Pediatric Dentistry, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1140 W South Boulder Rd Ste 102, Lafayette, Colorado |
| Authorized Official Name and Position | Kimber Barney (OFFICE MANAGER) |
| Authorized Official Contact | 3036049500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Pediatric Dentistry, P.c. 1140 W South Boulder Rd Ste 102 Lafayette CO 80026-8910 Ph: (303) 604-9500 | Foothills Pediatric Dentistry, P.c. 1140 W South Boulder Rd Ste 102 Lafayette CO 80026-8910 Ph: (303) 604-9500 |
| NPI Number | 1720279193 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720279193 | NPI | - | NPPES |
| 98633236 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Colorado) | Primary |
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