Healthcare Provider Details

I. General information

NPI: 1508709692
Provider Name (Legal Business Name): BRIGHTON PEDO DENTAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 PRAIRIE CENTER
BRIGHTON CA
80600
US

IV. Provider business mailing address

6870 S UNIVERSITY BLVD
CENTENNIAL CO
80122-1515
US

V. Phone/Fax

Practice location:
  • Phone: 720-577-8866
  • Fax:
Mailing address:
  • Phone: 720-277-5930
  • Fax: 303-330-0714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: COLTON FLAKE
Title or Position: MANAGING PARTNER
Credential: DDS
Phone: 720-577-8866