Provider Demographics
NPI:1225147390
Name:CHILDREN'S DENTISTRY
Entity Type:Organization
Organization Name:CHILDREN'S DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:303-427-1951
Mailing Address - Street 1:5150 W 80TH AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80030-4449
Mailing Address - Country:US
Mailing Address - Phone:303-427-1951
Mailing Address - Fax:
Practice Address - Street 1:5150 W 80TH AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80030-4449
Practice Address - Country:US
Practice Address - Phone:303-427-1951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1013981919OtherDENTIST
CO1457325342OtherDENTIST
CO1699749598OtherDENTIST
CO1154396836OtherDENTIST