STANLEY A. LADD DDS PC NPI 1215999636

NPI Information

NPI: 1215999636
Provider Name: STANLEY A. LADD DDS PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2211 MOUNTAIN VIEW AVE
LONGMONT, CO
ZIP 80501
Phone: (303) 772-5882
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STANLEY A. LADD DDS PC is a dental clinic center in Longmont, CO. STANLEY A. LADD DDS PC NPI is 1215999636. The provider is registered as an organization entity type.

The provider's business location address is:

2211 MOUNTAIN VIEW AVE
LONGMONT, CO
ZIP 80501-191
Phone: (303) 772-5882
Fax: (303) 772-0363

The provider's authorized official is Stanley A Ladd .
The authorized official title is Owner and has the following contact phone number (303) 772-5882.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 8/22/2020.

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
1	261QD0000X	Clinic/Center	Dental	104330	COLORADO	Yes

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
1	02043305	MEDICAID	COLORADO
2	579239	OTHER	COLORADO	UNITED CONCORDIA

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: 5/5/2024

NPI Synchronization or Removal

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