Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colorado Dental Team Professional

Organization Pediatric Dentistry · NPI 1639847510

Colorado Dental Team Professional provides Pediatric Dentistry in Westminster, Colorado. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

10170 Church Ranch Way Unit 110
Westminster, CO 80021-6059
Phone: (720) 330-5571
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1639847510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ketan Sukkawala — Owner · (979) 450-1116
NPI enumeratedSeptember 3, 2021
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023
Mailing address182 Industrial Rd, Glen Rock, PA 17327-8626

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