| Longmont Pediatric Dentistry | |
|
2055 Ken Pratt Blvd Unit B Longmont CO 80501-6554 | |
| (303) 776-1194 | |
| Not Available |
| Full Name | Longmont Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2055 Ken Pratt Blvd, Longmont, Colorado |
| Authorized Official Name and Position | Timothy Nichols (OWNER) |
| Authorized Official Contact | 3039940213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longmont Pediatric Dentistry 721 Judson St Longmont CO 80501-4818 Ph: (303) 994-0213 | Longmont Pediatric Dentistry 2055 Ken Pratt Blvd Unit B Longmont CO 80501-6554 Ph: (303) 776-1194 |
| NPI Number | 1881099935 |
|---|---|
| Provider Enumeration Date | 10/31/2014 |
| Last Update Date | 10/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881099935 | NPI | - | NPPES |
| 78080258 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Bruce L Session Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 541 Main St, Longmont, CO 80501 Phone: 303-776-3030 Fax: 303-776-0312 | |
Longmont Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2929 17th Ave, Longmont, CO 80503 Phone: 303-776-7804 Fax: 303-774-6530 | |
Milot Pediatric Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2055 Ken Pratt Blvd, Unit B, Longmont, CO 80501 Phone: 503-719-3700 | |
Fox Creek Family Dental Longmont Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1610 Pace St Unit 100, Longmont, CO 80504 Phone: 303-772-9966 | |
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 | |
Mountain Smiles, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 541 Main St, Longmont, CO 80501 Phone: 903-776-3030 | |
Ryan Lewis, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 Hover St Ste 103, Longmont, CO 80501 Phone: 270-293-9194 |