Organization · Type 2 NPI

My Local Colorado Dental Practice, LLC

General Practice Dentistry · Windsor, CO

NPI number 1366096893 Active

Practice location

1160 W Ash St
Windsor, CO 80550-4666

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

7 other providers at this address

Other general practice dentistry providers in Windsor

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NPI record

NPI: 1366096893
Entity type: Organization (Type 2)
Issued: Aug 1, 2019
Last updated: Aug 1, 2019
Status: Active
Subpart: Yes of My Local Colorado Dental Practice, LLC

Other names

Windsor Family Dentistry · doing business as

Authorized official

Michelle Johnson
Credentialing Specialist
(509) 315-8338

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366096893

My Local Colorado Dental Practice, LLC's National Provider Identifier is 1366096893, issued on Aug 1, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Windsor, CO. The record was last updated on Aug 1, 2019.