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

Pediatric Dental Group of Evergreen

Organization Pediatric Dentistry · NPI 1619774528

Pediatric Dental Group of Evergreen is a 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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