Individual provider · Type 1 NPI

Matthew David Whitesides, DDS

Pediatric Dentistry · Greeley, CO

NPI number 1366672875 Active

Practice location

100 N 11th Ave
Greeley, CO 80631-2011

Call (970) 313-0353 Map

Fax (970) 351-7075

Mailing address

2930 11th Ave
Evans, CO 80620-1011

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X9976 (CO)
Pediatric Dentistry Primary 1223P0221X9976 (CO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1366672875

Matthew David Whitesides, DDS's National Provider Identifier is 1366672875, issued on Jul 17, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Greeley, CO. The record was last updated on Jun 30, 2016.