James M Shaddock DDS PC

NPI #1730256033 in Greeley, Colorado

Provider Information

NPI Number: 1730256033
Entity Type: Organization
Organization Name: James M Shaddock DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3705 W 12TH STREET
City: Greeley
State: Colorado
ZIP Code: 80634
Phone: (970) 356-2605

Authorized Official

Name: DR. JAMES M SHADDOCK, DDS
Title: DENTIST
Phone: (970) 356-2605

Specialties & Taxonomy Codes

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

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