PEDO THREE, PROF. LLC (NPI# 1114166857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114166857 |
| Entity Type | Organization |
| Organization Name | PEDO THREE, PROF. LLC |
| Other Organization Name | COMFORT DENTAL KIDS CENTENNIAL |
| Practice Address |
8223 S Quebec St Suite O Centennial CO 80112-4415 |
| Practice Telephone | 7202775930 |
| Mailing Telephone | 7202775930 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2016-12-22 |
| Authorized Official Name | DR. COLTON FLAKE (OFFICER) |
| Authorized Official Telephone | 3032775930 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 10630 | CO | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10630 | CO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Comfort Dental Kids Centennial | Doing Business As Name - Organization |
| Street Address |
8223 S QUEBEC ST SUITE O |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942303359 | Jeannette Marie Berner | Dentist | 8223 S Quebec St, Unit A, Centennial, CO 80112 | 2006-09-07 |
| 1093036816 | David Wilford Lindman | Dentist | 8223 S Quebec St, Centennial, CO 80112-4415 | 2010-06-16 |
| 1790921807 | Comfort Dental Centennial | Dentist | 8223 S Quebec St, Centennial, CO 80112-4415 | 2008-12-18 |
| 1609036383 | Derrick Quentin Price | Dentist | 8223 S Quebec St, Unit A, Centennial, CO 80112-4415 | 2008-06-16 |
| 1588870869 | Comfort Dental Centennial | Dentist | 8223 S Quebec St, Suite A, Centennial, CO 80112-4415 | 2007-05-15 |
| 1225114069 | Scott Hamilton Ash | Dentist | 8223 S Quebec St, Unit A, Centennial, CO 80112 | 2006-10-27 |
| 1295831287 | Murray Jacobs | Dentist | 8223 S Quebec St, A, Centennial, CO 80112-4415 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831454917 | Gregory Allen Gardner | Dentist | 8223 S. Quebec St, Suite O, Centennial, CO 80112 | 2012-07-05 |
| 1023115490 | Scott D. Smith | Dentist | 9094 E. Mineral Ave., #240, Centennial, CO 80112-7200 | 2006-09-20 |
| 1952408320 | Bradley R. Smith | Dentist | 9094 E. Mineral Ave. #240, Centennial, CO 80112-7200 | 2006-09-20 |
| 1164437927 | Centennial Childrens Dental Center | Dentist | 14100 E Arapahoe Rd Ste 300, Centennial, CO 80112-4028 | 2006-07-30 |
| 1376578716 | Lisa Jane Stimmel | Dentist | 8194 S Holly St, Centennial, CO 80122-4004 | 2006-07-12 |
| 1710411715 | Mark Gilstrap | Dentist | 8223 S Quebec St Ste O, Centennial, CO 80112 | 2017-04-17 |
| 1538471818 | Christopher Marc Jones | Dentist | 14100 E Arapahoe Rd, Suite 211, Centennial, CO 80112-4028 | 2010-07-02 |
| 1912004383 | John M. Rubenstrunk | Dentist | 9094 E. Mineral Ave., #240, Centennial, CO 80112-7200 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181103 | Stettler Kr Broadmoor Pllc | Dentist | 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 | 2020-07-09 |
| 1043842453 | Highlands Pediatric Dentistry | Dentist | 3141 Irving St Unit 200, Denver, CO 80211-3654 | 2020-02-04 |
| 1174163711 | J Patrick Bowman Dmd Pllc | Dentist | 1280 S Pearl St, Denver, CO 80210-1538 | 2020-01-12 |
| 1487211124 | Rebecca Goldberg, Dds, Pllc | Dentist | 2975 Roslyn St Unit 160, Denver, CO 80238-3326 | 2019-05-28 |
| 1427521509 | Kids Mile High Thornton Pllc | Dentist | 7375 E. 128th Ave, Thornton, CO 80602 | 2019-01-10 |
| 1578060299 | Julia Rose Wiegand | Dentist | 2352 Meadows Blvd Ste 200, Castle Rock, CO 80109-8408 | 2018-04-09 |
| 1215432141 | Dan Duy Hoang | Dentist | 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 | 2018-03-23 |
| 1053851485 | Allison Threlkeld Davis | Dentist | 404 E Mineral Ave Ste A, Littleton, CO 80122-2611 | 2017-03-04 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1942673512 | A. P. Smithwick D.d.s. IIi Professional LLC | Dentist | 125 Inverness Dr E Ste 300, Englewood, CO 80112-5139 | 2015-11-04 |
| Find all providers with the same taxonomy | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.