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NORTHERN COLORADO ENDODONTICS NPI 1407205461


NPI Information

NPI: 1407205461
Provider Name: NORTHERN COLORADO ENDODONTICS
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
630 15TH AVE
SUITE 301
LONGMONT, CO
ZIP 80501
Phone: (720) 494-9363
Get Directions

NORTHERN COLORADO ENDODONTICS is an endodontics dentist in Longmont, CO. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. NORTHERN COLORADO ENDODONTICS NPI is 1407205461. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

630 15TH AVE
SUITE 301
LONGMONT, CO
ZIP 80501-700
Phone: (720) 494-9363
Fax: (720) 494-9364

The provider's authorized official is Bradley Levalley .
The authorized official title is President and has the following contact phone number (970) 229-1404.

The enumeration date for this NPI number is 6/9/2016 and was last updated on 6/9/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics7382COLORADOYes

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: 4/28/2024

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