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Contact Information

NORTHERN COLORADO ENDODONTICS PC
730 WHALERS WAY
SUITE 300
FORT COLLINS, CO80525
 Phone: 970-229-1404
 Fax: 970-229-1422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for NORTHERN COLORADO ENDODONTICS PC

NPI # 1184638736
LBN Legal business name NORTHERN COLORADO ENDODONTICS PC
Authorized official BRADLEY LEVALLEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/28/2006
Last updated 08/08/2007 - About 19 years ago
Identifiers
CO License # 7256
CO License # 7382
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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