Severance Dental, PLLC
Organization Active NPI General Practice Dentistry · Severance, CO
NPI 1790288744 · NPPES record last updated Mar 15, 2018
Key facts
- NPI
- 1790288744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- SEVERANCE DENTAL, PLLC
- Practice address
- 375 W 4TH Ave
Severance, CO 80550-2949 - Phone
- (970) 693-0080
- NPI assigned
- Mar 15, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Joshua Chad Kelly, DMD
- Title
- Owner
- Phone
- (502) 295-1099
Practitioners 1
-
Joshua Chad Kelly, DMD
National Provider Directory
Locations
375 W 4th Ave
Severance, CO 80550
Phone (970) 693-0080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
375 W 4TH Ave
Severance, CO 80550-2949
Mailing address
1581 Windshire Dr
Windsor, CO 80550-5823
Phone (502) 295-1099
Other providers in Severance, CO
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- Brooke Nicolle Papstein
- Aaron Powell
- Nicole Renae Ricks
- Semita Nova Therapy, LLC
- Alyxandrea Sharp
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- Erin Sloan
- Small Talk Pediatric Therapy
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All providers in Severance, CO · General Practice Dentistry in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.