JUSTIN C. BLEY D.M.D., P.C.; NPI #1174702880

Contact Information

JUSTIN C. BLEY D.M.D., P.C.

1707 61ST AVE
SUITE 102
GREELEY, CO 80634-7997

Phone: 970-506-0350
Fax: 970-506-0352
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for JUSTIN C. BLEY D.M.D., P.C.

NPI Number 1174702880

LBN Legal business name JUSTIN C. BLEY D.M.D., P.C.

Authorized official JUSTIN BLEY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/30/2007

Last updated 10/30/2007 - About 19 years ago

Identifiers

License #

9050

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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