Colorado Dental Professionals, LLC

NPI #1316528029 in Greeley, Colorado

Provider Information

NPI Number: 1316528029
Entity Type: Organization
Organization Name: Colorado Dental Professionals, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: COLORADO DENTAL PROFESSIONALS, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 15, 2021
Last Updated: Apr 15, 2021

Practice Location

Address: 4552 CENTERPLACE DR STE 200
City: Greeley
State: Colorado
ZIP Code: 80634-3759
Phone: (970) 400-7822

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

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

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