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NORTHWEST COLORADO DENTAL COALITION NPI 1699986067


NPI Information

NPI: 1699986067
Provider Name: NORTHWEST COLORADO DENTAL COALITION
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
485 YAMPA AVE
CRAIG, CO
ZIP 81625
Phone: (970) 824-8000
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NORTHWEST COLORADO DENTAL COALITION is a general practice dentist in Craig, 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. NORTHWEST COLORADO DENTAL COALITION NPI is 1699986067. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

485 YAMPA AVE
CRAIG, CO
ZIP 81625-609
Phone: (970) 824-8000

The provider's authorized official is Janet Pearcey .
The authorized official title is Executive Director and has the following contact phone number (970) 824-8000.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 8/22/2020.


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 Practice24175773COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
124175773MEDICAIDCOLORADO

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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