Hover Dental Group

NPI #1528399805 in Longmont, Colorado

Provider Information

NPI Number: 1528399805
Entity Type: Organization
Organization Name: Hover Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 26, 2010
Last Updated: Jan 26, 2010

Practice Location

Address: 1446 HOVER ST
Address 2: SUITE 100
City: Longmont
State: Colorado
ZIP Code: 80501-2485
Phone: (303) 684-9700

Authorized Official

Name: DR. CASEY LEE KOCHEVAR, DDS
Title: DENTIST
Phone: (303) 684-9700

Specialties & Taxonomy Codes

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

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