Adventure Dental, Vision And Orthodontics

LBN: Hero Dental Of Longmont Pc
Adventure Dental, Vision And Orthodontics is an health care organization with primary practice located at 1739 N Main St , Longmont CO 80501-2035. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Hero Dental Of Longmont Pc can be contacted via phone (303) 834-6400, or through Souder, Charlotte M via phone (719) 323-2362.

Contact Information

Primary practice address
1739 N Main St Longmont CO 80501-2035
Phone: (303) 834-6400
Fax: (303) 834-6414
Website:
Map and Directions
Authorized official contact:
Name: Souder, Charlotte M
Phone: (719) 323-2362

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Colorado

Profile Details

NPI number 1205131430
LBN Legal business name Hero Dental Of Longmont Pc
DBA Doing business as Adventure Dental, Vision And Orthodontics
Authorized official Souder, Charlotte M
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2011
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 1205131430 NPPES
Colorado MEDICAID 95787089

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