HERO DENTAL OF LONGMONT PC NPI 1205131430

NPI Information

  • NPI: 1205131430
  • Provider Name: HERO DENTAL OF LONGMONT PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: ADVENTURE DENTAL, VISION AND ORTHODONTICS
  • Address: 1739 N MAIN ST
    LONGMONT, CO
    ZIP 80501
  • Phone: (303) 834-6400

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NPI Details

HERO DENTAL OF LONGMONT PC is a general practice dentist in Longmont, 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. HERO DENTAL OF LONGMONT PC NPI is 1205131430. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Adventure Dental, Vision And Orthodontics.

The provider's business location address is:

1739 N MAIN ST
LONGMONT, CO
ZIP 80501-035
Phone: (303) 834-6400
Fax: (303) 834-6414

The provider's authorized official is Charlotte M Souder .
The authorized official title is Credentialing Manager and has the following contact phone number (719) 323-2362.

The enumeration date for this NPI number is 1/19/2011 and was last updated on 11/23/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeCOLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
195787089MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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