MY LOCAL COLORADO DENTAL PRACTICE LLC NPI 1245870336

NPI Information

MY LOCAL COLORADO DENTAL PRACTICE, LLC is a general practice dentist in Lakewood, 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. MY LOCAL COLORADO DENTAL PRACTICE, LLC NPI is 1245870336. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

264 UNION BLVD STE 200
LAKEWOOD, CO
ZIP 80228-970
Phone: (303) 477-7700

The provider's authorized official is Michelle Johnson .
The authorized official title is Credentialing Specialist and has the following contact phone number (509) 315-8338.

The enumeration date for this NPI number is 1/7/2020 and was last updated on 1/7/2020.

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:

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