Longmont Family Dental, Pllc

NPI #1003440710 in Longmont, Colorado

Provider Information

NPI Number: 1003440710
Entity Type: Organization
Organization Name: Longmont Family Dental, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 3, 2020
Last Updated: Mar 3, 2020

Practice Location

Address: 2929 17TH AVE
City: Longmont
State: Colorado
ZIP Code: 80503-1600
Phone: (303) 776-7804

Authorized Official

Name: DR. DIANNE RENEE PIERSON, DDS
Title: OWNER/DENTIST
Phone: (303) 746-3259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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