COLORADO DENTAL TEAM PROFESSIONAL
NPI 1639847510
Dentist - Pediatric Dentistry in Westminster, CO

Active since September 03, 2021
10170 CHURCH RANCH WAY UNIT 110, WESTMINSTER, CO 80021(720) 330-5571 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colorado Dental Team Professional NPPES

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

COLORADO DENTAL TEAM PROFESSIONAL (NPI 1639847510) is a healthcare organization registered as a pediatric dentistry in Westminster, Colorado and active in the NPI registry since September 2021. The organization lists Ketan Sukkawala, Owner, as its authorized official.

NPPES Registry Identity

NPI1639847510
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCOLORADO DENTAL TEAM PROFESSIONAL
Location Address10170 CHURCH RANCH WAY UNIT 110Westminster, CO 80021-6059
Mailing Address182 Industrial RdGlen Rock, PA 17327-8626 · (717) 759-4375 · Fax (717) 759-4336
Organization SubpartNo
Authorized OfficialKetan SukkawalaOwner · (979) 450-1116
Enumeration DateSeptember 3, 2021
Last NPPES UpdateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
NPI 1639847510 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.
10170 CHURCH RANCH WAY UNIT 110, Westminster, CO 80021

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Clinic/Center (Ambulatory Surgical)
10170 CHURCH RANCH WAY UNIT 110
WESTMINSTER, CO 80021

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 Colorado Dental Team Professional's NPI number?

The NPI number for Colorado Dental Team Professional is 1639847510. It was assigned to this organization in the NPPES registry on September 3, 2021.

Where is Colorado Dental Team Professional located?

Colorado Dental Team Professional is located at 10170 Church Ranch Way Unit 110, Westminster, CO 80021. The listed phone number is (720) 330-5571.

What is Colorado Dental Team Professional's specialty?

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

What insurance does Colorado Dental Team Professional accept?

Health plans from UnitedHealthcare list Colorado Dental Team Professional as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colorado Dental Team Professional was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.