Pedo Three, Prof. LLC
NPI 1114166857ActiveOrganization· Dentist, Pediatric Dentistry· Centennial, CO
Dentist, Pediatric Dentistry in Centennial, Colorado, registered in NPPES in February 2009. The authorized official on file is Colton Flake, DDS, President.
Overview
| NPI | 1114166857 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 18, 2009 |
| Last updated in NPPES | Sep 12, 2023 |
| Certified by provider | Sep 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
| Dentist | 122300000X | 10630 | CO |
| Dentist, Pediatric Dentistry | 1223P0221X | 10630 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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