OrganizationActive
Northeast Family Dental Clinic
NPI 1154486272 · Dental Clinic/Center · Hastun, CO
Provider details
- NPI number
- 1154486272
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aaron Wood, Ceo(970) 774-6123
- License
- CO8895 (CO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
115 South Colorado Ave
Hastun, CO 80731
Phone: (970) 774-7999
Fax: (970) 774-7997
Street-level locationGet directions
Mailing address
Po Box 248
Haxtun, CO 80731
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.