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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: July 19, 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
Phone(720) 330-5571
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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.

DENVER CHILDREN'S SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
10170 CHURCH RANCH WAY UNIT 110
WESTMINSTER, CO 80021
Jefferson County (720) 330-5571

Frequently Asked Questions

What is COLORADO DENTAL TEAM PROFESSIONAL's NPI number?

The NPI number assigned to this healthcare provider is 1639847510, enumerated as an "organization" on September 03, 2021.

Where is the provider located?

The provider is located at 10170 CHURCH RANCH WAY UNIT 110 WESTMINSTER, CO 80021 and the phone number is (720) 330-5571.

What is the provider's specialty?

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

What insurance does COLORADO DENTAL TEAM PROFESSIONAL accept?

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