HMJ PC NPI 1336544642

NPI Information

  • NPI: 1336544642
  • Provider Name: HMJ PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: PARK AVENUE DENTAL
  • Address: 230 PARK AVE
    FORT LUPTON, CO
    ZIP 80621
  • Phone: (303) 857-2258

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NPI Details

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 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice7249COLORADOYes

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: 11/21/2025

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