| Stanley A. Ladd Dds Pc | |
|
2211 Mountain View Ave Longmont CO 80501-3191 | |
| (303) 772-5882 | |
| (303) 772-0363 |
| Full Name | Stanley A. Ladd Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2211 Mountain View Ave, Longmont, Colorado |
| Authorized Official Name and Position | Stanley A Ladd (OWNER) |
| Authorized Official Contact | 3037725882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley A. Ladd Dds Pc 2211 Mountain View Ave Longmont CO 80501-3191 Ph: (303) 772-5882 | Stanley A. Ladd Dds Pc 2211 Mountain View Ave Longmont CO 80501-3191 Ph: (303) 772-5882 |
| NPI Number | 1215999636 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215999636 | NPI | - | NPPES |
| 02043305 | Medicaid | CO | |
| 579239 | Other | CO | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 104330 (Colorado) | Primary |
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› Verified 4 days ago
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