NORTHEAST FAMILY DENTAL CLINIC
NPI 1154486272
Clinic/Center - Dental in Hastun, CO

Active since December 27, 2006
115 SOUTH COLORADO AVE, HASTUN, CO 80731(970) 774-7999(970) 774-7997 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeast Family Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST FAMILY DENTAL CLINIC (NPI 1154486272) is a healthcare organization registered as a dental in Hastun, Colorado and active in the NPI registry since December 2006. The organization lists Aaron C Wood, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154486272
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNORTHEAST FAMILY DENTAL CLINIC
Location Address115 SOUTH COLORADO AVEHastun, CO 80731
Mailing AddressPo Box 248Haxtun, CO 80731 · (970) 774-7999 · Fax (970) 774-7997
Fax(970) 774-7997
Organization SubpartNo
Authorized OfficialAaron C WoodCeo · (970) 774-6123
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1154486272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in CO · CO8895
115 SOUTH COLORADO AVE, Hastun, CO 80731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Family Dental Clinic's NPI number?

The NPI number for Northeast Family Dental Clinic is 1154486272. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Northeast Family Dental Clinic located?

Northeast Family Dental Clinic is located at 115 South Colorado Ave, Hastun, CO 80731. The listed phone number is (970) 774-7999.

What is Northeast Family Dental Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Northeast Family Dental Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.