| Colorado Dental Professionals, Llc | |
|
2975 Ginnala Dr Ste 100 Loveland CO 80538-3300 | |
| (970) 443-7117 | |
| Not Available |
| Full Name | Colorado Dental Professionals, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2975 Ginnala Dr Ste 100, Loveland, Colorado |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Dental Professionals, Llc 2975 Ginnala Dr Ste 100 Loveland CO 80538-3300 Ph: () - | Colorado Dental Professionals, Llc 2975 Ginnala Dr Ste 100 Loveland CO 80538-3300 Ph: (970) 443-7117 |
| NPI Number | 1013697150 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Medicare PECOS PAC ID | 6709236573 |
|---|---|
| Medicare Enrollment ID | O20231220002625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013697150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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