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Nichols Pediatric Dentistry Pllc
Pediatric Dentist in Longmont, Colorado
NPI 1881099935

Nichols Pediatric Dentistry Pllc is a Pediatric Dentist based in Longmont, CO and is specialized in Pediatric Dentistry. Nichols Pediatric Dentistry Pllc practices in Longmont, CO. The NPI Number for Nichols Pediatric Dentistry Pllc is 1881099935 and holds a License No. (Colorado).

The current practice location address for Nichols Pediatric Dentistry Pllc is 2055 Ken Pratt Blvd, Longmont, CO and can be reached out via phone at 303-776-1194.

Location: 2055 Ken Pratt Blvd, Longmont, CO, 80501-4818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881099935
Provider Name
Nichols Pediatric Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
2055 Ken Pratt Blvd, Longmont, CO, 80501-4818
Phone Number
303-776-1194
Fax Number
Provider Enumeration Date
10/31/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
78080258 05 CO
institution
Provider Business Practice Location Address Details
Address
2055 Ken Pratt Blvd
City
Longmont
State
Colorado
Zip
80501-6554
Phone Number
303-776-1194
Fax Number
person
Provider Business Mailing Address Details
Address
2055 Ken Pratt Blvd
City
Longmont
State
Colorado
Zip
80501-6554
Phone Number
303-776-1194
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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Definition
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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