Healthcare Provider Details

I. General information

NPI: 1639244668
Provider Name (Legal Business Name): JAMES A URBANIAK DDS MS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6931 S PIERCE ST STE 101
LITTLETON CO
80128-4560
US

IV. Provider business mailing address

6931 S PIERCE ST STE 101
LITTLETON CO
80128-4560
US

V. Phone/Fax

Practice location:
  • Phone: 303-978-1104
  • Fax: 303-973-5816
Mailing address:
  • Phone: 303-978-1104
  • Fax: 303-973-5816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number6546
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number105007
License Number StateCO

VIII. Authorized Official

Name: DR. JAMES A URBANIAK
Title or Position: OWNER
Credential: DDS
Phone: 303-978-1104