Braces4Kids, Pllc

LBN: Braces4Kids, Pllc
Braces4Kids, Pllc is an health care organization with primary practice located at 2400 W 16Th St , Greeley CO 80634-6067. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Braces4Kids, Pllc can be contacted via phone (970) 523-6333, or through Jolley, Tyler H via phone (970) 523-6333.

Contact Information

Primary practice address
2400 W 16Th St Greeley CO 80634-6067
Phone: (970) 523-6333
Fax: (970) 243-3008
Website:
Map and Directions
Authorized official contact:
Name: Jolley, Tyler H Doctor of Dental Medicine (DMD)
Phone: (970) 523-6333

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 9143 Colorado
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 10718 Colorado

Profile Details

NPI number 1619357555
LBN Legal business name Braces4Kids, Pllc
DBA Doing business as
Authorized official Jolley, Tyler H Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2015
Last updated Jun 5th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619357555 NPPES
Colorado MEDICAID 1588763528
Colorado MEDICAID 1154675874

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