# LIFT DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Artistic Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871253906
- **Authorized official:** DR. TREY JACKSON THYGERSON DDS (DENTIST)
- **Authorized official phone:** (303) 485-8888

## Contact information

- **Practice address:** 920 S HOVER ST, LONGMONT, CO 80501-7900
- **Practice address phone:** (303) 485-8888
- **Mailing address:** 920 S HOVER ST, LONGMONT, CO 80501-7900
- **Mailing address phone:** (303) 485-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/30/2021
- **Last updated:** 12/30/2021