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DENTAL TEAM OF LONGMONT, PLLC
NPI 1245120500
Dentist - General Practice in Longmont, CO

Active since July 08, 2025
630 15TH AVE STE 104, LONGMONT, CO 80501(720) 466-5063 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dental Team Of Longmont, Pllc NPPES

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

DENTAL TEAM OF LONGMONT, PLLC (NPI 1245120500) is a healthcare organization registered as a general practice in Longmont, Colorado and active in the NPI registry since July 2025. The organization lists Simone Leonard, Owner, as its authorized official.

NPPES Registry Identity

NPI1245120500
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL TEAM OF LONGMONT, PLLC
Location Address630 15TH AVE STE 104Longmont, CO 80501-2764
Mailing Address630 15th Ave Ste 104Longmont, CO 80501-2764
Phone(720) 466-5063
Organization SubpartNo
Authorized OfficialSimone LeonardOwner · (719) 210-9997
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1245120500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
630 15TH AVE STE 104, Longmont, CO 80501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIAN K V YACOVELLA MSW, SWC
Social Worker (Clinical)
630 15TH AVE STE 104
LONGMONT, CO 80501
Boulder County (970) 775-7061
COLORADO HEALTH PROVIDERS LLC
Anesthesiology (Pain Medicine)
630 15TH AVE STE 104
LONGMONT, CO 80501
Boulder County (970) 221-9451

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 Dental Team Of Longmont, PLLC's NPI number?

The NPI number for Dental Team Of Longmont, PLLC is 1245120500. It was assigned to this organization in the NPPES registry on July 8, 2025.

Where is Dental Team Of Longmont, PLLC located?

Dental Team Of Longmont, PLLC is located at 630 15th Ave Ste 104, Longmont, CO 80501. The listed phone number is (720) 466-5063.

What is Dental Team Of Longmont, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dental Team Of Longmont, PLLC was last updated on July 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.