Colorado Dental Professionals, LLC

NPI #1659101616 in Johnstown, Colorado

Provider Information

NPI Number: 1659101616
Entity Type: Organization
Organization Name: Colorado Dental Professionals, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: COLORADO DENTAL PROFESSIONALS, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 5, 2024
Last Updated: Aug 5, 2024

Practice Location

Address: 4585 LEDGE ROCK DR
City: Johnstown
State: Colorado
ZIP Code: 80534-8007
Phone: (970) 660-4001

Authorized Official

Name: CEMYIRA MCDOUGAL
Title: CREDENTIALING COORDINATOR
Phone: (217) 764-8609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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