NORTHERN COLORADO PERIODONTICS NPI 1437550050

NPI Information

NORTHERN COLORADO PERIODONTICS is a periodontics dentist in Greeley, CO. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. NORTHERN COLORADO PERIODONTICS NPI is 1437550050. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3400 W 16TH ST
SUITE 5X
GREELEY, CO
ZIP 80634-862
Phone: (970) 351-6166
Fax: (970) 673-8732

The provider's authorized official is Kelly Olson .
The authorized official title is Practice Manager and has the following contact phone number (970) 351-6166.

The enumeration date for this NPI number is 9/15/2014 and was last updated on 9/15/2014.

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:

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