| Northern Colorado Periodontics | |
|
3400 W 16th St Suite 5x Greeley CO 80634-6862 | |
| (970) 351-6166 | |
| (970) 673-8732 |
| Full Name | Northern Colorado Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3400 W 16th St, Greeley, Colorado |
| Authorized Official Name and Position | Kelly Olson (PRACTICE MANAGER) |
| Authorized Official Contact | 9703516166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Colorado Periodontics 4033 Boardwalk Dr Suite 100 Fort Collins CO 80525-5934 Ph: (970) 207-4061 | Northern Colorado Periodontics 3400 W 16th St Suite 5x Greeley CO 80634-6862 Ph: (970) 351-6166 |
| NPI Number | 1437550050 |
|---|---|
| Provider Enumeration Date | 09/15/2014 |
| Last Update Date | 09/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437550050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 8350 (Colorado) | Primary |
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