Colorado Dental Specialist Practice, Llc

LBN: Colorado Dental Specialist Practice, Llc
Colorado Dental Specialist Practice, Llc is an health care organization with primary practice located at 1600 23Rd Ave Ste 200 , Greeley CO 80634-6071. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Periodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Periodontics is the primary health care specialty. Colorado Dental Specialist Practice, Llc can be contacted via phone (970) 353-4329, or through Johnson, Michelle via phone (509) 315-8338.

Contact Information

Primary practice address
1600 23Rd Ave Ste 200 Greeley CO 80634-6071
Phone: (970) 353-4329
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Michelle
Phone: (509) 315-8338

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1396399929
LBN Legal business name Colorado Dental Specialist Practice, Llc
DBA Doing business as
Authorized official Johnson, Michelle
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 31st, 2019
Last updated Jul 31st, 2019 - 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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