Organization
LONGS PEAK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNE ADAMS DDS (OWNER)
(303) 833-5660
Entity
Organization
Contact information
Practice address
8196 WELD COUNTY ROAD 13, FIRESTONE, CO 80504
(303) 833-5660
(303) 833-5661
Mailing address
8196 WELD COUNTY ROAD 13, FIRESTONE, CO 80504
(303) 833-5660
(303) 833-5661
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9762
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578725222
INDIVIDUAL NPI NUMBER
CO
Enumeration date
10/22/2010
Last updated
10/22/2010
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