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CRAIG KIDZDENTIST PLLC
NPI 1396382727
Dentist - Pediatric Dentistry in Craig, CO

Active since December 04, 2019
1111 W VICTORY WAY, CRAIG, CO 81625(435) 790-4170 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Craig Kidzdentist Pllc NPPES

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

CRAIG KIDZDENTIST PLLC (NPI 1396382727) is a healthcare organization registered as a pediatric dentistry in Craig, Colorado and active in the NPI registry since December 2019. The organization lists Kolby Lance, Dentist, as its authorized official.

NPPES Registry Identity

NPI1396382727
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCRAIG KIDZDENTIST PLLC
Location Address1111 W VICTORY WAYCraig, CO 81625
Mailing Address1111 W Victory WayCraig, CO 81625 · (435) 790-4170
Phone(435) 790-4170
Organization SubpartNo
Authorized OfficialKolby LanceDentist · (435) 790-4170
Enumeration DateDecember 4, 2019
✔ NPI 1396382727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
1111 W VICTORY WAY, Craig, CO 81625
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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 5

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

MS. JENNIFER LYNN DUNNELL MSOT
Occupational Therapist
1111 W VICTORY WAY, #103
CRAIG, CO 81625
Moffat County (970) 824-9359
NORTHWEST EYECARE CENTER, LLC
Optometrist
1111 W VICTORY WAY, SUITE 110
CRAIG, CO 81625
Moffat County (970) 824-3488
EYECARE SPECIALTIES INC.
Optometrist
1111 W VICTORY WAY, SUITE 110
CRAIG, CO 81625
Moffat County (970) 824-3488
DR. RONALD J. DANNER O.D.
Optometrist
1111 W VICTORY WAY, SUITE 110
CRAIG, CO 81625
Moffat County (970) 824-3488
DR. CRAIG T. ECKROTH O.D.
Optometrist
1111 W VICTORY WAY, SUITE 110
CRAIG, CO 81625
Moffat County (970) 824-3488

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 Craig Kidzdentist PLLC's NPI number?

The NPI number for Craig Kidzdentist PLLC is 1396382727. It was assigned to this organization in the NPPES registry on December 4, 2019.

Where is Craig Kidzdentist PLLC located?

Craig Kidzdentist PLLC is located at 1111 W Victory Way, Craig, CO 81625. The listed phone number is (435) 790-4170.

What is Craig Kidzdentist PLLC'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 Craig Kidzdentist PLLC was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.