Organization
TAFT HILL ORTHODONTICS OF GREELEY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C HARDY DMD (MEMBER)
(970) 415-8581
Entity
Organization
Contact information
Practice address
3400 W 16TH ST # 8E, GREELEY, CO 80634-6862
(970) 415-8581
Mailing address
3200 VILLAGE VISTA DR UNIT 110, ERIE, CO 80516-2596
(720) 900-3119
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992010144
—
CO
Enumeration date
10/07/2020
Last updated
11/27/2023
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