# SMILE ROCKERS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124571617
- **Authorized official:** LORI CACKOVIC BSDH, RDH (OWNER)
- **Authorized official phone:** (303) 952-9796

## Contact information

- **Practice address:** 4955 W 72ND AVE UNIT L1, WESTMINSTER, CO 80030-5146
- **Practice address phone:** (630) 750-1429
- **Mailing address:** 4955 W. 72ND AVE., UNIT L1, WESTMINSTER, CO 80030-5146
- **Mailing address phone:** (303) 952-9796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DH.000906409 | CO | Yes |

## Other

- **Enumeration date:** 08/01/2016
- **Last updated:** 07/21/2022