Greeley Modern Dentistry, LLP

NPI #1750678439 in Greeley, Colorado

Provider Information

NPI Number: 1750678439
Entity Type: Organization
Organization Name: Greeley Modern Dentistry, LLP
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 1, 2011
Last Updated: Jul 1, 2011

Practice Location

Address: 6632 10TH STREET SUITE 101
City: Greeley
State: Colorado
ZIP Code: 80634
Phone: (970) 353-4848

Authorized Official

Name: DR. CHARLES F RODGERS, DDS
Title: OWNER DOCTOR
Phone: (970) 353-4848

Specialties & Taxonomy Codes

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

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