Organization
SMILE VISTA KIDS DENTISTRY & ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYOR RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
4499 W 38TH AVE UNIT 101, DENVER, CO 80212-2199
(303) 827-0606
(303) 827-0606
Mailing address
4499 W 38TH AVE UNIT 101, DENVER, CO 80212-2199
(303) 827-0606
(303) 827-0606
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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