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 is a 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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