# FRONT RANGE SMILES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Springs Youth Dentistry, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417366790
- **Authorized official:** DR. NATHANIEL CONRAD CEJKA DDS (OWNER, DOCTOR)
- **Authorized official phone:** (720) 666-1162

## Contact information

- **Practice address:** 8870 N SUNDOWN TRL, PARKER, CO 80134
- **Practice address phone:** (720) 666-1162
- **Practice address fax:** (720) 222-5169
- **Mailing address:** 11223 JANSEN ST., PARKER, CO 80134
- **Mailing address phone:** (720) 666-1162
- **Mailing address fax:** (720) 222-5169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 10762 | CO | Yes |

## Other

- **Enumeration date:** 08/12/2014
- **Last updated:** 09/02/2021