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Organization

SUNRISE COMMUNITY HEALTH

Active
Parent organization
SUNRISE COMMUNITY HEALTH
Other names
Sunrise Centennial Children's Clinic - Dental, Kids Care Dental Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUNRISE COMMUNITY HEALTH
Authorized official
LISA ASPROMONTE (CREDENTIALING SPECIALIST)
(970) 350-4602
Entity
Organization

Contact information

Practice address
1400 37TH ST, EVANS, CO 80620-1906
(970) 348-1112
(970) 348-1134
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
CO
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1902317274
CO
Enumeration date
10/13/2017
Last updated
02/19/2026
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