Broomfield Dental Group, LLC
NPI #1750467585 in Broomfield, Colorado
Provider Information
- NPI Number
- 1750467585
- Entity Type
- Organization
- Organization Name
- Broomfield Dental Group, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTALONE PARTNERS, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Mar 20, 2018
Practice Location
- Address
- 1140 U.S. HWY 287
- Address 2
- SUITE 200
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-7076
- Phone
- (303) 438-9899
Authorized Official
- Name
- RACHEL NITTINGER
- Title
- MANAGER CREDENTIALING
- Phone
- (972) 755-0816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Endodontics — Endodontics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Periodontics — Periodontics |
| Dentist - Prosthodontics — Prosthodontics |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - General Practice — General Practice |
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