Lift Dental Pllc

LBN: Lift Dental Pllc
Lift Dental Pllc is an health care organization with primary practice located at 920 S Hover St , Longmont CO 80501-7900. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Lift Dental Pllc can be contacted via phone (303) 485-8888, or through Thygerson, Trey Jackson via phone (303) 485-8888.

Contact Information

Primary practice address
920 S Hover St Longmont CO 80501-7900
Phone: (303) 485-8888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thygerson, Trey Jackson Doctor of Dental Surgery (DDS)
Phone: (303) 485-8888

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1871253906
LBN Legal business name Lift Dental Pllc
DBA Doing business as
Authorized official Thygerson, Trey Jackson Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2021
Last updated Dec 30th, 2021 - about 4 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 1871253906 NPPES
Colorado MEDICAID 1730755430

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