Organization
COLORADO KIDS PEDIATRIC DENTISTRY
Active
Other names
Drs. Fox, Waguespack & Norwood
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MEHELICH FOX DDS (OWNER/OPERATOR)
(303) 791-4400
Entity
Organization
Contact information
Practice address
9358 DORCHESTER ST., SUITE 106, HIGHLANDS RANCH, CO 80129
(303) 225-4715
(303) 688-6012
Mailing address
9358 DORCHESTER ST., SUITE 106, HIGHLANDS RANCH, CO 80129
(303) 791-4400
(303) 471-1206
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
00201980
CO
1223P0221X
Pediatric Dentistry
674
CO
1223P0221X
Pediatric Dentistry
Primary
8330
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215048806
KATHLEEN E. WAGUESPACK, DMD, NPI
CO
01
—
1427078435
LISA MEHELICH FOX, DDS NPI
CO
Enumeration date
07/19/2005
Last updated
01/08/2020
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