GRIN PEDIATRIC DENTISTRY & ORTHODONTICS OF CENTENNIAL
NPI 1114166857
Dentist - Pediatric Dentistry in Centennial, CO

Q: What is Pedo Three, Prof. LLC's NPI number?

The NPI number for Pedo Three, Prof. LLC is 1114166857. It was assigned to this organization in the NPPES registry on February 18, 2009. The provider is doing business as Grin Pediatric Dentistry & Orthodontics Of Centennial and Comfort Dental Kids Centennial.

Q: What is Pedo Three, Prof. LLC's specialty?

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

Active since February 18, 2009

6870 S UNIVERSITY BLVD, CENTENNIAL, CO 80122(720) 277-5930(720) 241-7811 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2021, Dec 22, 2016, Oct 18, 2016 (3 updates tracked since 2016).

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About Grin Pediatric Dentistry & Orthodontics Of Centennial NPPES

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

GRIN PEDIATRIC DENTISTRY & ORTHODONTICS OF CENTENNIAL (NPI 1114166857) is a healthcare organization registered as a pediatric dentistry in Centennial, Colorado and active in the NPI registry since February 2009. The organization maintains a secondary practice location in Centennial and lists Colton Flake, President, as its authorized official.

NPPES Registry Identity

NPI1114166857

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDO THREE, PROF. LLC

Location Address6870 S UNIVERSITY BLVDCentennial, CO 80122-1515

Mailing Address6870 S University Blvd Ste OCentennial, CO 80122-1515 · (720) 277-5930 · Fax (720) 241-7811

Phone(720) 277-5930

Fax(720) 241-7811

Organization SubpartNo

Authorized OfficialColton FlakePresident · (720) 277-5930

Enumeration DateFebruary 18, 2009

Last NPPES UpdateSeptember 12, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2023

✔ NPI 1114166857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CO · 10630

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.

Also ListedDentistTaxonomy 122300000X · License 10630 (CO)

6870 S UNIVERSITY BLVD, Centennial, CO 80122

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Other Names 2

Doing Business AsGrin Pediatric Dentistry & Orthodontics Of Centennial

Doing Business AsComfort Dental Kids Centennial

Secondary Practice Location 1

Location 18223 S Quebec St, Suite OCentennial, CO 80112-4415 · Phone (720) 277-5930

Other Identifiers 1

Medicaid44075871CO

Group Practice 2

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

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 2

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

DR. COLTON FLAKE D.D.S.

Dentist (Pediatric Dentistry)

6870 S UNIVERSITY BLVD
CENTENNIAL, CO 80122

Arapahoe County (720) 277-5930

CENTENNIAL GRIN ORTHO, PLLC

Dentist (Orthodontics and Dentofacial Orthopedics)

6870 S UNIVERSITY BLVD
CENTENNIAL, CO 80122

Arapahoe County (720) 277-5930

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 Pedo Three, Prof. LLC's NPI number?

The NPI number for Pedo Three, Prof. LLC is 1114166857. It was assigned to this organization in the NPPES registry on February 18, 2009. The provider is doing business as Grin Pediatric Dentistry & Orthodontics Of Centennial and Comfort Dental Kids Centennial.

Where is Pedo Three, Prof. LLC located?

Pedo Three, Prof. LLC is located at 6870 S University Blvd, Centennial, CO 80122. The listed phone number is (720) 277-5930.

What is Pedo Three, Prof. 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 Pedo Three, Prof. LLC was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.