Organization
PEDIATRIC DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA N MOYER D.D.S (SECRETARY-TREASURER)
(303) 973-4424
Entity
Organization
Contact information
Practice address
10184 W BELLEVIEW AVE, SUITE 110, LITTLETON, CO 80127-1700
(303) 973-4424
(303) 973-4427
Mailing address
10184 W BELLEVIEW AVE, SUITE 110, LITTLETON, CO 80127-1700
(303) 973-4424
(303) 973-4427
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104977
CO
1223P0221X
Pediatric Dentistry
104978
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
104977
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02049781
—
CO
Enumeration date
04/10/2007
Last updated
09/11/2025
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