| Heron Lakes Dentistry Pllc | |
|
1335 Grand Market Avenue Suite 120 Berthoud CO 80513 | |
| (970) 841-1255 | |
| Not Available |
| Full Name | Heron Lakes Dentistry Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1335 Grand Market Avenue, Berthoud, Colorado |
| Authorized Official Name and Position | John Mears (OWNER) |
| Authorized Official Contact | 6087692979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heron Lakes Dentistry Pllc 1500 Harebell St Berthoud CO 80513-9598 Ph: (608) 769-2979 | Heron Lakes Dentistry Pllc 1335 Grand Market Avenue Suite 120 Berthoud CO 80513 Ph: (970) 841-1255 |
| NPI Number | 1538947528 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538947528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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