Healthcare Provider Details

I. General information

NPI: 1073443909
Provider Name (Legal Business Name): COMFORT KIDS AURORA L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 E COLFAX AVE
AURORA CO
80010-2371
US

IV. Provider business mailing address

10401 E COLFAX AVE
AURORA CO
80010-2371
US

V. Phone/Fax

Practice location:
  • Phone: 720-881-6440
  • Fax:
Mailing address:
  • Phone: 720-881-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA GRANTHAM
Title or Position: DOCTOR/OWNER
Credential: DMD
Phone: 702-533-0338