Provider Demographics
NPI:1689483216
Name:DINOMITE SMILES PEDIATRIC DENTISTRY
Entity type:Organization
Organization Name:DINOMITE SMILES PEDIATRIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRAIOLI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:720-677-0018
Mailing Address - Street 1:251 PEAR LAKE WAY
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-2637
Mailing Address - Country:US
Mailing Address - Phone:585-747-7668
Mailing Address - Fax:
Practice Address - Street 1:8310 COLORADO BLVD STE 100
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-6817
Practice Address - Country:US
Practice Address - Phone:720-677-0018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty