# STANLEY A. LADD DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215999636
- **Authorized official:** DR. STANLEY A LADD DDS (OWNER)
- **Authorized official phone:** (303) 772-5882

## Contact information

- **Practice address:** 2211 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3191
- **Practice address phone:** (303) 772-5882
- **Practice address fax:** (303) 772-0363
- **Mailing address:** 2211 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3191
- **Mailing address phone:** (303) 772-5882
- **Mailing address fax:** (303) 772-0363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 104330 | CO | Yes |

## Other

- **Enumeration date:** 04/03/2006
- **Last updated:** 08/22/2020