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General NPI Number Information
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NPI Number | 1033090477
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Entity Type | Organization
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Legal Business Name | ADMIRE DENTAL OF GREELEY PLLC
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6200 W 9TH ST STE 2B
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City | GREELEY
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State | CO
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Zip | 80634-4462
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Country | US
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Telephone | 970-930-3439
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Fax |
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Provider Business Mailing Address
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Address Line | 360 QUEEN ST STE 205
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City | SOUTHINGTON
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State | CT
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Zip | 06489-1883
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Country | US
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Telephone | 970-930-3439
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Fax |
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Authorized Official
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Title or Position | TRANSITIONS AND OPERATIONS MANAGER
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Name | MAGGIE MCCLAIN
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Credential |
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Telephone | 860-269-0628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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