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

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: July 19, 2026.

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

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
Open in Google Maps ↗

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

Reviews for GRIN PEDIATRIC DENTISTRY & ORTHODONTICS OF CENTENNIAL

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

What is PEDO THREE, PROF. LLC's NPI number?

The NPI number assigned to this healthcare provider is 1114166857, enumerated as an "organization" on February 18, 2009.

Where is the provider located?

The provider is located at 6870 S UNIVERSITY BLVD CENTENNIAL, CO 80122 and the phone number is (720) 277-5930.

What is the provider's specialty?

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

What insurance does PEDO THREE, PROF. LLC accept?

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