Organization
CHILDREN'S DENTAL CENTER
Active
Parent organization
JOHN R, SEXTON
Other names
John R, Sexton
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN R, SEXTON
Authorized official
MRS. VALERIE LOPEZ (MANAGER)
(303) 984-9700
Entity
Organization
Contact information
Practice address
2323 SOUTH WADSWORTH BLVD, SUITE #104, LAKEWOOD, CO 80227
(303) 984-9700
(303) 985-2490
Mailing address
2323 SOUTH WADSWORTH BLVD, SUITE #104, LAKEWOOD, CO 80227
(303) 984-9700
(303) 985-2490
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02047082
—
CO
05
—
04104709
—
CO
05
—
39009777
—
CO
Enumeration date
07/17/2008
Last updated
06/21/2018
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