NPI 1053768184

Milot Pediatric Dentistry, LLC

Organisation Pediatric Dentistry Longmont, CO

Practice location

Address: 2055 Ken Pratt Blvd Unit B, Longmont, CO 80501-6554
Phone: (503) 719-3700
Mailing address: 2851 Shadow Lake Rd, Lafayette, CO 80026-8970

Authorised official

Name: Jennifer Milot
Title: Owner/Dentist
Phone: (503) 719-3700

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 9409 (CO)

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Registry record

NPI: 1053768184
Entity type: Organization
NPI issued: 18 May 2016
Record last updated: 8 Nov 2016

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.