| Neo Kids Dentistry & The New Orthodontics | |
|
9400 Station St Suite 100 Lone Tree CO 80124-6808 | |
| (303) 690-0400 | |
| Not Available |
| Full Name | Neo Kids Dentistry & The New Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9400 Station St, Lone Tree, Colorado |
| Authorized Official Name and Position | Samuel Kent Lauson (OWNER) |
| Authorized Official Contact | 3036900400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neo Kids Dentistry & The New Orthodontics 14991 E Hampden Ave Ste 300 Aurora CO 80014-3987 Ph: () - | Neo Kids Dentistry & The New Orthodontics 9400 Station St Suite 100 Lone Tree CO 80124-6808 Ph: (303) 690-0400 |
| NPI Number | 1265804355 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 10/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265804355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DEN00000758 (Colorado) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | DEN00202083 (Colorado) | Primary |
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