Organization
HIGH PLAINS ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEROY WILHELM DDS (MANAGER)
(970) 867-9464
Entity
Organization
Contact information
Practice address
109 W 9TH AVE, FORT MORGAN, CO 80701-2011
(970) 867-9464
(970) 867-9465
Mailing address
109 W 9TH AVE, FORT MORGAN, CO 80701-2011
(970) 867-9464
(970) 867-9465
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3146
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46931368
—
CO
Enumeration date
05/15/2015
Last updated
05/15/2015
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