| Longs Peak Dental | |
|
8196 Weld County Road 13 Firestone CO 80504 | |
| (303) 833-5660 | |
| (303) 833-5661 |
| Full Name | Longs Peak Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8196 Weld County Road 13, Firestone, Colorado |
| Authorized Official Name and Position | Dawne Adams (OWNER) |
| Authorized Official Contact | 3038335660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longs Peak Dental 8196 Weld County Road 13 Firestone CO 80504 Ph: (303) 833-5660 | Longs Peak Dental 8196 Weld County Road 13 Firestone CO 80504 Ph: (303) 833-5660 |
| NPI Number | 1013217157 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 10/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013217157 | NPI | - | NPPES |
| 1578725222 | Other | CO | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9762 (Colorado) | Primary |
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