# PEDIATRIC SEDATION DENTISTRY OF COLORADO PLLC

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

## Provider details

- **NPI number:** 1841040243
- **Authorized official:** DR. MATTHEW LUCERO DMD (OWNER)
- **Authorized official phone:** (720) 828-2106

## Contact information

- **Practice address:** 3305 S LINCOLN AVE, SIOUX FALLS, SD 57105-5224
- **Practice address phone:** (720) 828-2106
- **Mailing address:** 2755 ELIOT ST, DENVER, CO 80211-4111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2024
- **Last updated:** 06/16/2026