HMJ PC NPI 1336544642

NPI Information

HMJ PC is a general practice dentist in Fort Lupton, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HMJ PC NPI is 1336544642. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Park Avenue Dental.

The provider's business location address is:

230 PARK AVE
FORT LUPTON, CO
ZIP 80621-928
Phone: (303) 857-2258

The provider's authorized official is H Jebril .
The authorized official title is Officer and has the following contact phone number (303) 466-7438.

The CLIA number assigned to this NPI record is 06D0516536 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2014 and was last updated on 10/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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