Co Specialty Dental Services, Pllc

NPI #1922844901 in Thornton, Colorado

Provider Information

NPI Number: 1922844901
Entity Type: Organization
Organization Name: Co Specialty Dental Services, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: CO SPECIALTY DENTAL SERVICES, PLLC
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Jul 8, 2024
Last Updated: Mar 11, 2025

Practice Location

Address: 2750 E 136TH AVE STE 100
City: Thornton
State: Colorado
ZIP Code: 80241-3530
Phone: (303) 452-9502

Authorized Official

Name: CHARLOTTE DASCH
Title: DIRECTOR OF CREDENTIALING AND PR
Phone: (504) 638-0303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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