Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Dental Group of Evergreen

Organization Pediatric Dentistry · NPI 1619774528

Pediatric Dental Group of Evergreen provides Pediatric Dentistry in Evergreen, Colorado. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

30960 Stagecoach Blvd Ste W100
Evergreen, CO 80439-7902
Phone: (303) 670-7070
Fax: (303) 670-7071
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 number1619774528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Strange — Owner · (303) 588-7575
NPI enumeratedFebruary 27, 2025
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025
Mailing address15053 W 55th Dr, Golden, CO 80403-2923

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