PEDIATRIC DENTAL GROUP AT KIDS FIRST (NPI# 1356762918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356762918 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL GROUP AT KIDS FIRST |
| Practice Address |
96 Wadsworth Blvd Unit 150 Lakewood CO 80226-1512 |
| Practice Telephone | 3032322155 |
| Mailing Telephone | 3032322155 |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |
| Authorized Official Name | DR. DAVID STRANGE (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Telephone | 3032322155 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
CO | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pediatric Dental Group at Kids First, PC | 96 Wadsworth Blvd., Suite B, Lakewood, CO 80226 |
| Street Address |
96 WADSWORTH BLVD UNIT 150 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80226-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1063057842 | Nancy Sue Boisture | Physical Therapist | 393 South Harlan Street, Suite 170, Lakewood, CO 80226 | 2019-11-15 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1689195562 | Amanda Marie Reider | Counselor | 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 | 2017-06-30 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1477901304 | Abigail L Wegert | Registered Nurse | 8015 W Alameda Ave Ste 260, Lakewood, CO 80226 | 2016-06-01 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1457731937 | Terry Cheung | Nurse Practitioner | 7444 W Alaska Drive, Suite #200, Lakewood, CO 80226 | 2015-06-01 |
| Find all providers in zip 80226 | ||||
| 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 |
|---|---|---|---|---|
| 1225575566 | Babak Yousefi Dental Corporation | Dentist | 4134 Woodruff Ave, Lakewood, CA 90713-3141 | 2017-01-25 |
| 1720214638 | Pediatric Dental Group of Lakewood | Dentist | 3333 S Wadsworth Blvd Unit B104, Lakewood, CO 80227-5120 | 2009-06-05 |
| 1528186137 | Daniel H. Cook | Dentist | 6015 100th St Sw, Lakewood, WA 98499-2754 | 2007-03-26 |
| 1417059478 | Jan Ray Carlson | Dentist | 133 E Fairmount Ave Ste 1, Lakewood, NY 14750-1950 | 2006-09-01 |
| 1104892421 | Brett Wohlstetter | Dentist | 1328 Route 9, Lakewood, NJ 08701-5645 | 2006-02-27 |
| 1639155336 | Lakewood Pediatric Dental Associates | Dentist | 1328 Route 9 South, Suite 11 & 12, Lakewood, NJ 08701-5645 | 2005-12-15 |
| 1417499500 | Lakewood Pediatric Dentistry Pllc | Dentist | 133 E Fairmount Ave Ste 1, Lakewood, NY 14750-1950 | 2016-11-07 |
| 1942681069 | Avi Willis | Dentist | 870 River Ave, Lakewood, NJ 08701-5280 | 2015-06-15 |
| 1841619210 | Aleem Noormohamed | Dentist | 6015 100th St Sw, Lakewood, WA 98499 | 2014-04-14 |
| 1215179148 | Children's Dental Center | Dentist | 2323 S Wadsworth Blvd, Suite # 104, Lakewood, CO 80227-3275 | 2009-03-24 |
| Find all providers in LAKEWOOD | ||||
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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.