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MODERN DENTAL PROFESSIONALS CO PC NPI 1437530821


NPI Information

NPI: 1437530821
Provider Name: MODERN DENTAL PROFESSIONALS CO PC

Doing Business As: BRIGHT NOW DENTAL - LONGMONT

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
15 KEN PRATT BLVD STE 280
LONGMONT, CO
ZIP 80501
Phone: (303) 678-1155
Get Directions

MODERN DENTAL PROFESSIONALS CO 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. MODERN DENTAL PROFESSIONALS CO PC NPI is 1437530821. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bright Now Dental - Longmont.

The provider's business location address is:

15 KEN PRATT BLVD STE 280
LONGMONT, CO
ZIP 80501-656
Phone: (303) 678-1155
Fax: (303) 678-5588

The provider's authorized official is Craig A Mellor .
The authorized official title is Pc Owner and has the following contact phone number (303) 209-2250.

The enumeration date for this NPI number is 6/11/2015 and was last updated on 6/11/2015.


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
11223G0001XDentistGeneral Practice105734COLORADOYes

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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