Northglenn Dentistry and Orthodontics Pllc
NPI #1538655592 in Northglenn, Colorado
Provider Information
- NPI Number
- 1538655592
- Entity Type
- Organization
- Organization Name
- Northglenn Dentistry and Orthodontics Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 2, 2018
- Last Updated
- Jul 2, 2018
Practice Location
- Address
- 421 W 104TH AVE STE 201
- City
- Northglenn
- State
- Colorado
- ZIP Code
- 80234-4138
- Phone
- (303) 427-6462
Authorized Official
- Name
- FAITH GASKINS
- Title
- DIRECTOR OF CREDENTIALING
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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