| Michael J Kellogg Dds Pc | |
|
1616 Mountain View Ave Longmont CO 80501-3210 | |
| (303) 772-3313 | |
| Not Available |
| Full Name | Michael J Kellogg Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1616 Mountain View Ave, Longmont, Colorado |
| Authorized Official Name and Position | Michael J Kellogg (PRESIDENT) |
| Authorized Official Contact | 3037723313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Kellogg Dds Pc 1616 Mountain View Ave Longmont CO 80501-3210 Ph: (303) 772-3313 | Michael J Kellogg Dds Pc 1616 Mountain View Ave Longmont CO 80501-3210 Ph: (303) 772-3313 |
| NPI Number | 1073626040 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073626040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 230 (Colorado) | Primary |
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› Verified 9 days ago
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