CROSSROADS DENTAL


Address: 1520 S Hover St Ste E-f, Longmont, CO 80501-7959
Phone: 3037761480

CROSSROADS DENTAL (NPI# 1407167836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407167836
Entity Type Organization
Organization Name CROSSROADS DENTAL
Practice Address 1520 S Hover St Ste E-f
Longmont
CO 80501-7959
Practice Telephone 3037761480
Mailing Telephone 3037761480
Enumeration Date 2010-06-30
Last Update Date 2010-06-30
Authorized Official Name DR. AMY FARMER (DENTIST)
Authorized Official Telephone 3037761480
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
7850 CO Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CROSSROADS DENTAL 708 W Mount Vernon St, Nixa, MO 65714-9682
Indiana Business Entities CROSSROADS DENTAL PROSTHETICS LLC 1641 Park Ridge Way, Indianapolis, IN 46229

Office Location

Street Address 1520 S HOVER ST STE E-F
City LONGMONT
State CO
Zip Code 80501-7959

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073537189 Amy Elizabeth Farmer Dentist 1520 S Hover St Ste E-f, Longmont, CO 80501-7959 2006-07-26

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1790013936 Longmont Braces Clinic/Center 1520 S Hover Rd Ste C, Longmont, CO 80501-7960 2009-11-30
1336770528 Craig G. Larson, Dds Pllc Clinic/Center 2051 Terry St Ste F, Longmont, CO 80501-1872 2020-01-28
1164936035 D Scott Topham Dds Professional LLC Clinic/Center 1055 17th Ave Ste 202, Longmont, CO 80501-2647 2017-11-29
1053830737 Fox Creek Family Dental Longmont Clinic/Center 1610 Pace St Unit 100, Longmont, CO 80504-2239 2017-09-14
1215999636 Stanley A. Ladd Dds PC Clinic/Center 2211 Mountain View Ave, Longmont, CO 80501-3191 2006-04-03

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1205435013 Kids In Need of Dentistry Clinic/Center 4201 E 72nd Ave Unit D, Commerce City, CO 80022-1578 2020-10-22
1619576428 Kids In Need of Dentistry Clinic/Center 925 N Lincoln St Ste B, Denver, CO 80203-2784 2020-10-22
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Competitor

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City LONGMONT
Zip Code 80501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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