Northern Colorado Periodontics

NPI #1437550050 in Greeley, Colorado

Provider Information

NPI Number: 1437550050
Entity Type: Organization
Organization Name: Northern Colorado Periodontics
Primary Specialty: Dentist - Periodontics
Enumeration Date: Sep 15, 2014
Last Updated: Sep 15, 2014

Practice Location

Address: 3400 W 16TH ST
Address 2: SUITE 5X
City: Greeley
State: Colorado
ZIP Code: 80634-6862
Phone: (970) 351-6166

Authorized Official

Name: KELLY OLSON
Title: PRACTICE MANAGER
Phone: (970) 351-6166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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