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JAMES M SHADDOCK DDS PC
NPI 1730256033
Dentist - General Practice in Greeley, CO

Active since November 29, 2006
3705 W 12TH STREET, GREELEY, CO 80634(970) 356-2605(970) 304-6804 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James M Shaddock Dds Pc NPPES

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

JAMES M SHADDOCK DDS PC (NPI 1730256033) is a healthcare organization registered as a general practice in Greeley, Colorado and active in the NPI registry since November 2006. The organization lists James M Shaddock, Dentist, as its authorized official.

NPPES Registry Identity

NPI1730256033
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJAMES M SHADDOCK DDS PC
Location Address3705 W 12TH STREETGreeley, CO 80634
Mailing Address3705 W 12th StreetGreeley, CO 80634 · (970) 356-2605 · Fax (970) 304-6804
Phone(970) 356-2605
Fax(970) 304-6804
Organization SubpartNo
Authorized OfficialJames M ShaddockDentist · (970) 356-2605
Enumeration DateNovember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730256033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · 430
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.
3705 W 12TH STREET, Greeley, CO 80634
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Other Identifiers 1

Medicaid02043016CO

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

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 James M Shaddock Dds PC's NPI number?

The NPI number for James M Shaddock Dds PC is 1730256033. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is James M Shaddock Dds PC located?

James M Shaddock Dds PC is located at 3705 W 12th Street, Greeley, CO 80634. The listed phone number is (970) 356-2605.

What is James M Shaddock Dds PC'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 James M Shaddock Dds PC 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.