NPI: 1619168507
Provider Name: EDWARD A. CHRISTENSEN, D.D.S, P.C.
Former Legal Business Name: FOOTHILLS PEDIATRIC DENTISTRY, P.C.
Classification: Dentist - 1223P0221X
Entity Type: Organization
Specialization: Pediatric Dentistry
Address:
916 S MAIN ST UNIT 302
LONGMONT, CO
ZIP 80501
Phone: (303) 702-9501
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EDWARD A. CHRISTENSEN, D.D.S, P.C. is a pediatric dentistry dentist in Longmont, CO. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. EDWARD A. CHRISTENSEN, D.D.S, P.C. NPI is 1619168507. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Foothills Pediatric Dentistry, P.c..
The provider's business location address is:
916 S MAIN ST UNIT 302
LONGMONT, CO
ZIP 80501-672
Phone: (303) 702-9501
Fax: (303) 532-2275
The provider's authorized official is Kimber Barney .
The authorized official title is Office Manager and has the following contact phone number (303) 604-9500.
The enumeration date for this NPI number is 8/6/2007 and was last updated on 7/21/2022.