MILOT PEDIATRIC DENTISTRY, LLC
NPI 1053768184
Dentist - Pediatric Dentistry in Longmont, CO

Active since May 18, 2016
2055 KEN PRATT BLVD, UNIT B, LONGMONT, CO 80501(503) 719-3700 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 8, 2016, May 18, 2016 (2 updates tracked since 2016).

About Milot Pediatric Dentistry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILOT PEDIATRIC DENTISTRY, LLC (NPI 1053768184) is a healthcare organization registered as a pediatric dentistry in Longmont, Colorado and active in the NPI registry since May 2016. The organization lists Jennifer Milot, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1053768184
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMILOT PEDIATRIC DENTISTRY, LLC
Location Address2055 KEN PRATT BLVD, UNIT BLongmont, CO 80501-6554
Mailing Address2851 Shadow Lake RdLafayette, CO 80026-8970 · (503) 719-3700
Organization SubpartNo
Authorized OfficialJennifer MilotOwner/dentist · (503) 719-3700
Enumeration DateMay 18, 2016
Last NPPES UpdateNovember 8, 20162 updates tracked since enumeration
NPI 1053768184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CO · 9409
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2055 KEN PRATT BLVD, Longmont, CO 80501

Other Identifiers 1

Medicaid53451767CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
2055 KEN PRATT BLVD, UNIT B
LONGMONT, CO 80501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053768184, enumerated as an "organization" on May 18, 2016.

The provider is located at 2055 KEN PRATT BLVD UNIT B LONGMONT, CO 80501 and the phone number is (503) 719-3700.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.