| Johnstown Pediatric Dentistry Pllc | |
|
257 Johnstown Center Dr Unit 107 Johnstown CO 80534-7847 | |
| (816) 806-1664 | |
| Not Available |
| Full Name | Johnstown Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 257 Johnstown Center Dr Unit 107, Johnstown, Colorado |
| Authorized Official Name and Position | Nathan Green (OWNER) |
| Authorized Official Contact | 8168061664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnstown Pediatric Dentistry Pllc 257 Johnstown Center Dr Unit 107 Johnstown CO 80534-7847 Ph: (816) 806-1664 | Johnstown Pediatric Dentistry Pllc 257 Johnstown Center Dr Unit 107 Johnstown CO 80534-7847 Ph: (816) 806-1664 |
| NPI Number | 1770348401 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770348401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Jeffrey S Tippets Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 257 Johnstown Center Dr, 108, Johnstown, CO 80534 Phone: 970-587-8085 Fax: 970-587-4131 | |
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