Provider Demographics
NPI:1639244668
Name:JAMES A URBANIAK DDS MS PC
Entity Type:Organization
Organization Name:JAMES A URBANIAK DDS MS PC
Other - Org Name:SOUTHWEST PEDIATRIC DENTISTRY & ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:URBANIAK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-978-1104
Mailing Address - Street 1:6931 S PIERCE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-4560
Mailing Address - Country:US
Mailing Address - Phone:303-978-1104
Mailing Address - Fax:303-973-5816
Practice Address - Street 1:6931 S PIERCE ST STE 101
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-4560
Practice Address - Country:US
Practice Address - Phone:303-978-1104
Practice Address - Fax:303-973-5816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO65461223P0221X
CO1050071223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
Not Answered1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty