Colorado Dental Specialist Practice, Llc - Dental Clinic in Greeley, CO

Colorado Dental Specialist Practice, Llc is a dental clinic (Dentist - Periodontics) in Greeley, Colorado. The current practice location for Colorado Dental Specialist Practice, Llc is 1600 23rd Ave Ste 200, Greeley, Colorado. For appointments, you can reach them via phone at (970) 353-4329. The mailing address for Colorado Dental Specialist Practice, Llc is 1600 23rd Ave Ste 200, Greeley, Colorado and phone number is (970) 353-4329.

Colorado Dental Specialist Practice, Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1396399929. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (970) 353-4329.

Contact Information

Colorado Dental Specialist Practice, Llc
1600 23rd Ave Ste 200
Greeley
CO 80634-6071
(970) 353-4329
Not Available

Dental Care Clinic Profile

Full NameColorado Dental Specialist Practice, Llc
SpecialityDentist - Periodontics
Location1600 23rd Ave Ste 200, Greeley, Colorado
Authorized Official Name and PositionMichelle Johnson (CREDENTIALING SPECIALIST)
Authorized Official Contact5093158338
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Colorado Dental Specialist Practice, Llc
1600 23rd Ave Ste 200
Greeley
CO 80634-6071

Ph: (970) 353-4329
Colorado Dental Specialist Practice, Llc
1600 23rd Ave Ste 200
Greeley
CO 80634-6071

Ph: (970) 353-4329

NPI Details:

NPI Number1396399929
Provider Enumeration Date07/31/2019
Last Update Date07/31/2019

Medical Identifiers

Medical identifiers for Colorado Dental Specialist Practice, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396399929NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics (* (Not Available))Secondary
1223P0300XDentist - Periodontics (* (Not Available))Primary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics (* (Not Available))Secondary

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