NPI 1043864705

My Local Colorado Dental Practice, LLC

Organisation General Practice Dentistry Littleton, CO

Practice location

Address: 5021 S Jellison Way Unit C, Littleton, CO 80123-7377
Phone: (720) 608-5557

Authorised official

Name: Michelle Johnson
Title: Credentialing Specialist
Phone: (509) 315-8338

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Colorado →

Registry record

NPI: 1043864705
Entity type: Organization
NPI issued: 30 Jul 2019
Record last updated: 30 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.