Mountain Smiles, Pllc

NPI #1093428757 in Longmont, Colorado

Provider Information

NPI Number: 1093428757
Entity Type: Organization
Organization Name: Mountain Smiles, Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: MOUNTAIN SMILES, PLLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 27, 2022
Last Updated: Dec 27, 2022

Practice Location

Address: 541 MAIN ST
City: Longmont
State: Colorado
ZIP Code: 80501-5536
Phone: (903) 776-3030

Authorized Official

Name: JENNY ORGANISTA
Title: DIRECTOR OF RCM
Phone: (917) 966-0422

Specialties & Taxonomy Codes

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

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