Hero Dental of Longmont PC

NPI #1790389583 in Longmont, Colorado

Provider Information

NPI Number: 1790389583
Entity Type: Organization
Organization Name: Hero Dental of Longmont PC
Subpart: Yes (part of a larger organization)
Parent Organization: HERO DENTAL OF LONGMONT PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 23, 2020
Last Updated: Nov 23, 2020

Practice Location

Address: 1739 MAIN ST
City: Longmont
State: Colorado
ZIP Code: 80501-2035
Phone: (303) 834-6400

Authorized Official

Name: SHAUN URBANOZO
Title: CREDENTIALING MANAGER
Phone: (719) 323-2362

Specialties & Taxonomy Codes

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

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