James M Shaddock Dds Pc

LBN: James M Shaddock Dds Pc
James M Shaddock Dds Pc is an health care organization with primary practice located at 3705 W 12Th Street , Greeley CO 80634. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. James M Shaddock Dds Pc can be contacted via phone (970) 356-2605, or through Shaddock, James M via phone (970) 356-2605.

Contact Information

Primary practice address
3705 W 12Th Street Greeley CO 80634
Phone: (970) 356-2605
Fax: (970) 304-6804
Website:
Map and Directions
Authorized official contact:
Name: Shaddock, James M Doctor of Dental Surgery (DDS)
Phone: (970) 356-2605

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 430 Colorado

Profile Details

NPI number 1730256033
LBN Legal business name James M Shaddock Dds Pc
DBA Doing business as
Authorized official Shaddock, James M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 22nd, 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 1730256033 NPPES
Colorado MEDICAID 02043016

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