Colorado Dental Specialist Practice, LLC

NPI #1396399929 in Greeley, Colorado

Provider Information

NPI Number: 1396399929
Entity Type: Organization
Organization Name: Colorado Dental Specialist Practice, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: COLORADO DENTAL SPECIALIST PRACTICE, LLC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Jul 31, 2019
Last Updated: Jul 31, 2019

Practice Location

Address: 1600 23RD AVE STE 200
City: Greeley
State: Colorado
ZIP Code: 80634-6071
Phone: (970) 353-4329

Authorized Official

Name: MICHELLE JOHNSON
Title: CREDENTIALING SPECIALIST
Phone: (509) 315-8338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - Periodontics — Periodontics	1223P0300X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Terry Allen Eckles, DDS	Dentist - Periodontics	Greeley	AI Deep Dive
DR. Craig J Hovick, DDS	Dentist - Periodontics	Longmont	AI Deep Dive
Cherie Annette Brown, DDS, MS	Dentist - Periodontics	Lakewood	AI Deep Dive
DR. Thomas J Chapman, DDS	Dentist - Periodontics	Highlands Ranch	AI Deep Dive

Organizations

Provider Name	Specialty	City
Northern Colorado Periodontics	Dentist - Periodontics	Greeley	AI Deep Dive

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