Organization
STANLEY A. LADD DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY A LADD DDS (OWNER)
(303) 772-5882
Entity
Organization
Contact information
Practice address
2211 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3191
(303) 772-5882
(303) 772-0363
Mailing address
2211 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3191
(303) 772-5882
(303) 772-0363
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
104330
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02043305
—
CO
01
—
579239
UNITED CONCORDIA
CO
Enumeration date
04/03/2006
Last updated
08/22/2020
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