| Northern Colorado Endodontics | |
|
630 15th Ave Suite 301 Longmont CO 80501-2700 | |
| (720) 494-9363 | |
| (720) 494-9364 |
| Full Name | Northern Colorado Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 630 15th Ave, Longmont, Colorado |
| Authorized Official Name and Position | Bradley Levalley (PRESIDENT) |
| Authorized Official Contact | 9702291404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Colorado Endodontics 630 15th Ave Suite 301 Longmont CO 80501-2700 Ph: (720) 494-9363 | Northern Colorado Endodontics 630 15th Ave Suite 301 Longmont CO 80501-2700 Ph: (720) 494-9363 |
| NPI Number | 1407205461 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 06/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407205461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 7382 (Colorado) | Primary |
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Michael J Kellogg Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1616 Mountain View Ave, Longmont, CO 80501 Phone: 303-772-3313 | |
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