| Braces4kids, Pllc | |
|
2400 W 16th St Greeley CO 80634-6067 | |
| (970) 523-6333 | |
| (970) 243-3008 |
| Full Name | Braces4kids, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2400 W 16th St, Greeley, Colorado |
| Authorized Official Name and Position | Tyler H Jolley (DOCTOR/OWNER) |
| Authorized Official Contact | 9705236333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braces4kids, Pllc 601 28 1/4 Rd Unit E Grand Junction CO 81506-6022 Ph: (970) 523-6333 | Braces4kids, Pllc 2400 W 16th St Greeley CO 80634-6067 Ph: (970) 523-6333 |
| NPI Number | 1619357555 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 06/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619357555 | NPI | - | NPPES |
| 1588763528 | Medicaid | CO | |
| 1154675874 | Medicaid | CO |
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