Captain Smiles Of Greeley Pc

LBN: Captain Smiles Of Greeley Pc
Captain Smiles Of Greeley Pc is an health care organization with primary practice located at 3485 W 10Th St Ste C , Greeley CO 80634-5368. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Captain Smiles Of Greeley Pc can be contacted via phone (970) 353-4745, or through Urbanozo, Shaun via phone (719) 323-2362.

Contact Information

Primary practice address
3485 W 10Th St Ste C Greeley CO 80634-5368
Phone: (970) 353-4745
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Urbanozo, Shaun
Phone: (719) 323-2362

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1508460387
LBN Legal business name Captain Smiles Of Greeley Pc
DBA Doing business as
Authorized official Urbanozo, Shaun
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 23rd, 2020
Last updated Nov 23rd, 2020 - about 5 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 1508460387 NPPES
Colorado MEDICAID 35104074

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