Organization
CO SPECIALTY DENTAL SERVICES, PLLC
Active
Parent organization
CO SPECIALTY DENTAL SERVICES, PLLC
Other names
Foothills Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CO SPECIALTY DENTAL SERVICES, PLLC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CRED AND PROVR REL)
(504) 638-0303
Entity
Organization
Contact information
Practice address
916 S MAIN ST UNIT 302, LONGMONT, CO 80501-6672
(303) 702-9501
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
03/26/2025
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