Organization
KIDS IN NEED OF DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE BURBEE (EXECUTIVE DIRECTOR)
(720) 795-9791
Entity
Organization
Contact information
Practice address
7190 COLORADO BLVD STE 300, DENVER, CO 80022-1808
(303) 733-3710
Mailing address
7190 COLORADO BLVD STE 300, COMMERCE CITY, CO 80022-1808
(303) 733-3710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
201198
CO
124Q00000X
Dental Hygienist
201877
CO
124Q00000X
Dental Hygienist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29655561
—
CO
Enumeration date
12/27/2006
Last updated
01/14/2022
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