Colorado Dental Specialist Practice, Llc is a dental clinic (Dentist - Periodontics) in Windsor, Colorado. The current practice location for Colorado Dental Specialist Practice, Llc is 1160 W Ash St, Windsor, Colorado. For appointments, you can reach them via phone at
(970) 686-1186. The mailing address for Colorado Dental Specialist Practice, Llc is 1160 W Ash St, Windsor, Colorado and phone number is (970) 686-1186.
Colorado Dental Specialist Practice, Llc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1780238311. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(970) 686-1186.
Dental Care Clinic Profile
Full Name | Colorado Dental Specialist Practice, Llc |
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Speciality | Dentist - Periodontics |
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Location | 1160 W Ash St, Windsor, Colorado |
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Authorized Official Name and Position | Michelle Johnson (CREDENTIALING SPECIALIST) |
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Authorized Official Contact | 5093158338 |
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Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Colorado Dental Specialist Practice, Llc 1160 W Ash St Windsor CO 80550-4666 Ph: (970) 686-1186 | Colorado Dental Specialist Practice, Llc 1160 W Ash St Windsor CO 80550-4666 Ph: (970) 686-1186 |
NPI Details:
NPI Number | 1780238311 |
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Provider Enumeration Date | 07/31/2019 |
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Last Update Date | 07/31/2019 |
Medical Identifiers
Medical identifiers for Colorado Dental Specialist Practice, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780238311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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