Organization
HERO DENTAL OF LONGMONT PC
Active
Other names
Adventure Dental, Vision and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE M SOUDER (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
1739 N MAIN ST, LONGMONT, CO 80501-2035
(303) 834-6400
(303) 834-6414
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 955-8896
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95787089
—
CO
Enumeration date
01/19/2011
Last updated
11/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us