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Contact Information

AURORA PEDIATRIC DENTISTRY, PROF. LLC
5657 S HIMALAYA ST
STE 200
AURORA, CO80015-5307
 Phone: 720-886-0808
 Fax: 720-886-0994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for AURORA PEDIATRIC DENTISTRY, PROF. LLC

NPI Number 1609875830
LBN Legal business name AURORA PEDIATRIC DENTISTRY, PROF. LLC
Authorized official DAVID HAYUTIN - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
CO License # 6181
WY License # 915
CO Medicaid 38006219
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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