Captain Smiles of Greeley PC

NPI #1508460387 in Greeley, Colorado

Provider Information

NPI Number: 1508460387
Entity Type: Organization
Organization Name: Captain Smiles of Greeley PC
Subpart: Yes (part of a larger organization)
Parent Organization: CAPTAIN SMILES OF GREELEY PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 23, 2020
Last Updated: Nov 23, 2020

Practice Location

Address: 3485 W 10TH ST STE C
City: Greeley
State: Colorado
ZIP Code: 80634-5368
Phone: (970) 353-4745

Authorized Official

Name: SHAUN URBANOZO
Title: CREDENTIALING MANAGER
Phone: (719) 323-2362

Specialties & Taxonomy Codes

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

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