Longmont Pediatric Dentistry

LBN: Nichols Pediatric Dentistry Pllc
Longmont Pediatric Dentistry is an health care organization with primary practice located at 2055 Ken Pratt Blvd Unit B, Longmont CO 80501-6554. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Nichols Pediatric Dentistry Pllc can be contacted via phone (303) 776-1194, or through Nichols, Timothy via phone (303) 994-0213.

Contact Information

Primary practice address
2055 Ken Pratt Blvd Unit B Longmont CO 80501-6554
Phone: (303) 776-1194
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Timothy Doctor of Dental Surgery (DDS)
Phone: (303) 994-0213

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1881099935
LBN Legal business name Nichols Pediatric Dentistry Pllc
DBA Doing business as Longmont Pediatric Dentistry
Authorized official Nichols, Timothy Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2014
Last updated Oct 31st, 2014 - about 10 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 1881099935 NPPES
Colorado MEDICAID 78080258

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