| Jennifer K Hargleroad Dds Ms Professional Llc | |
|
2105 Bighorn Rd Suite 202 Fort Collins CO 80525-3555 | |
| (970) 232-9097 | |
| Not Available |
| Full Name | Jennifer K Hargleroad Dds Ms Professional Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2105 Bighorn Rd, Fort Collins, Colorado |
| Authorized Official Name and Position | Jennifer Kay Hargleroad (OWNER MEMBER) |
| Authorized Official Contact | 9704932254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer K Hargleroad Dds Ms Professional Llc 2105 Bighorn Rd Suite 202 Fort Collins CO 80525-3555 Ph: (970) 232-9097 | Jennifer K Hargleroad Dds Ms Professional Llc 2105 Bighorn Rd Suite 202 Fort Collins CO 80525-3555 Ph: (970) 232-9097 |
| NPI Number | 1801277926 |
|---|---|
| Provider Enumeration Date | 06/15/2015 |
| Last Update Date | 06/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801277926 | NPI | - | NPPES |
| 54182336 | Medicaid | CO | |
| 78907811 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8365 (Colorado) | Primary |
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