Michael J Kellogg DDS PC

NPI #1073626040 in Longmont, Colorado

Provider Information

NPI Number: 1073626040
Entity Type: Organization
Organization Name: Michael J Kellogg DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 16, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1616 MOUNTAIN VIEW AVE
City: Longmont
State: Colorado
ZIP Code: 80501-3210
Phone: (303) 772-3313

Authorized Official

Name: DR. MICHAEL J KELLOGG, DDS
Title: PRESIDENT
Phone: (303) 772-3313

Specialties & Taxonomy Codes

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

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