MEDICARE: NEO KIDS DENTISTRY & THE NEW ORTHODONTICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DEN00000758	CO
2	1223P0221X	Pediatric Dentistry	DEN00202083	CO

General Provider Information

NPI Number	:	1265804355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEO KIDS DENTISTRY & THE NEW ORTHODONTICS

Provider Business Mailing Address
First Line	:	14991 E HAMPDEN AVE STE 300
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-3987
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 STATION ST
Second Line	:	SUITE 100
City	:	LONE TREE
State	:	CO
Zip	:	80124-6808
Country	:	US
Telephone Number	:	303-690-0400
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMUEL KENT LAUSON
Credential	:	DDS, MS
Telephone Number	:	303-690-0400

Provider Enumeration Date	:	10/28/2015
Last Update Date	:	10/28/2015

Similar Medicare Providers

1821184821 — DR. MARY BLAKELEY DDS
Practice Location Address:

9400 STATION ST , SUITE 175
LONE TREE, CO
80124-6808

Practice Phone: 303-779-2797
Practice Fax: 303-779-2687

1992195267 — ALPHA DENTAL CARE V PC
Practice Location Address:

9400 STATION ST , STE 175
LONE TREE, CO
80124-6808

Practice Phone: 303-779-2797
Practice Fax: 303-779-2687

1033561642 — HOLLY BALLER DDS
Practice Location Address:

9400 STATION ST
LONE TREE, CO
80124-6808

Practice Phone: 303-690-0400
Practice Fax:

1093716425 — DR. MICHELLE SANCHO OD
Practice Location Address:

9400 STATION ST , SUITE 150
LONETREE, CO
80124-6808

Practice Phone: 303-925-0075
Practice Fax: 303-925-0079

1902807332 — DR. JEFFREY CRAIG MARLATT OD
Practice Location Address:

9400 STATION ST , SUITE 150
LONETREE, CO
80124-6808

Practice Phone: 303-925-0075
Practice Fax: 303-925-0079

1326268921 — PARKRIDGE VISION SPECIALISTS, PC
Practice Location Address:

9400 STATION ST , SUITE 150
LONETREE, CO
80124-6808

Practice Phone: 303-925-0075
Practice Fax: 303-925-0079

Directions to “NEO KIDS DENTISTRY & THE NEW ORTHODONTICS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.