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PATRA WATANA DMD PEDIATRIC DENTISTRY LLC
NPI 1093121667
Dentist - Pediatric Dentistry in Greenwood Village, CO

Active since July 03, 2014
8200 E. BELLEVIEW AVE., SUITE #420E, GREENWOOD VILLAGE, CO 80111(303) 740-7088 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patra Watana Dmd Pediatric Dentistry Llc NPPES

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

PATRA WATANA DMD PEDIATRIC DENTISTRY LLC (NPI 1093121667) is a healthcare organization registered as a pediatric dentistry in Greenwood Village, Colorado and active in the NPI registry since July 2014. The organization lists Patra Watana, Owner, as its authorized official.

NPPES Registry Identity

NPI1093121667
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePATRA WATANA DMD PEDIATRIC DENTISTRY LLC
Location Address8200 E. BELLEVIEW AVE., SUITE #420EGreenwood Village, CO 80111
Mailing Address8200 E Belleview Ave, Suite #420eGreenwood Village, CO 80111-2803 · (303) 740-7088
Phone(303) 740-7088
Organization SubpartNo
Authorized OfficialPatra WatanaOwner · (303) 740-7088
Enumeration DateJuly 3, 2014
✔ NPI 1093121667 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 · 6614
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.
8200 E. BELLEVIEW AVE., Greenwood Village, CO 80111
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Other Identifiers 1

Medicaid02123371CO

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patra Watana Dmd Pediatric Dentistry LLC's NPI number?

The NPI number for Patra Watana Dmd Pediatric Dentistry LLC is 1093121667. It was assigned to this organization in the NPPES registry on July 3, 2014.

Where is Patra Watana Dmd Pediatric Dentistry LLC located?

Patra Watana Dmd Pediatric Dentistry LLC is located at 8200 E. Belleview Ave. Suite #420e, Greenwood Village, CO 80111. The listed phone number is (303) 740-7088.

What is Patra Watana Dmd Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Patra Watana Dmd Pediatric Dentistry LLC was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.