| Colorado Dental Professionals, Llc | |
|
4585 Ledge Rock Dr Johnstown CO 80534-8007 | |
| (970) 660-4001 | |
| Not Available |
| Full Name | Colorado Dental Professionals, Llc |
|---|---|
| Speciality | Dentist |
| Location | 4585 Ledge Rock Dr, Johnstown, Colorado |
| Authorized Official Name and Position | Cemyira Mcdougal (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2177648609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Dental Professionals, Llc 4585 Ledge Rock Dr Johnstown CO 80534-8007 Ph: (970) 660-4001 | Colorado Dental Professionals, Llc 4585 Ledge Rock Dr Johnstown CO 80534-8007 Ph: (970) 660-4001 |
| NPI Number | 1659101616 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659101616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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