Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Family Dental Clinic

Organization Dental Clinic/Center · NPI 1154486272

Northeast Family Dental Clinic is a Dental Clinic/Center in Hastun, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006

Practice location Address checks out

115 S Colorado Ave
Hastun, CO 80731
Phone: (970) 774-7999
Fax: (970) 774-7997
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence CO8895 (CO)

Record details

NPI number1154486272
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Wood — Ceo · (970) 774-6123
NPI enumeratedDecember 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 248, Haxtun, CO 80731