Bright Star Kids Dentistry PLLC
Organization Active NPI General Practice Dentistry · Commerce City, CO
NPI 1043760432 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1043760432
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9842 (CO)
- Legal business name
- BRIGHT STAR KIDS DENTISTRY PLLC
- Practice address
- 15200 E. 104TH Ave
Commerce City, CO 80022 - Phone
- (303) 286-2679
- Fax
- (303) 284-9687
- NPI assigned
- Oct 10, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Lawrence Musanje, DDS, PHD
- Title
- Owner/Dentist
- Phone
- (303) 286-2679
Practitioners 1
-
Lawrence Musanje, DDS
National Provider Directory
Locations
13611 E 104th Ave
Commerce City, CO 80022
Phone (720) 588-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 9842 | CO | Yes |
Addresses
Primary practice location
15200 E. 104TH Ave
Commerce City, CO 80022
Mailing address
15200 E. 104TH Ave
Commerce City, CO 80022
Phone (303) 286-2679
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52024326 | Medicaid | CO |
Other providers in Commerce City, CO
- Layne C Bracy
- Annemarie Branch
- Brandon M. Braud, DDS, LLC
- Jennifer Branin
- Verna Inez Brasher
- Tiffany Brimberry
- Mary Brittain
- Kerry Lynn Brown
- Lynette Leann Brown
- Krystal Bruchs
All providers in Commerce City, CO · General Practice Dentistry in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.