Healthcare Provider Details

I. General information

NPI: 1346176179
Provider Name (Legal Business Name): BENZLEY PEDIATRIC DENTISTRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 MAX DR STE 201
CASTLE PINES CO
80108-9519
US

IV. Provider business mailing address

753 MALETA LN STE 104
CASTLE ROCK CO
80108-7605
US

V. Phone/Fax

Practice location:
  • Phone: 720-844-2828
  • Fax: 720-844-2828
Mailing address:
  • Phone: 303-660-5373
  • Fax: 303-660-5373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAYNE BENZLEY
Title or Position: OWNER
Credential: DDS
Phone: 303-660-5373