Healthcare Provider Details
I. General information
NPI: 1568555829
Provider Name (Legal Business Name): CELIA TURNER D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/01/2006
Last Update Date: 01/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
302 3RD ST SE 150
LOVELAND CO
80537-6419
US
IV. Provider business mailing address
302 3RD ST SE 150
LOVELAND CO
80537-6419
US
V. Phone/Fax
- Phone: 970-461-8942
- Fax: 970-292-1538
- Phone: 970-461-8942
- Fax: 970-292-1538
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 105022 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 105022 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: