Provider Demographics
NPI:1811220353
Name:NLDP LLC
Entity Type:Organization
Organization Name:NLDP LLC
Other - Org Name:COMFORT NORTH LOVELAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKAL
Authorized Official - Middle Name:V
Authorized Official - Last Name:LINDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:970-667-0446
Mailing Address - Street 1:274 W 64TH ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-1196
Mailing Address - Country:US
Mailing Address - Phone:970-667-0446
Mailing Address - Fax:970-667-4196
Practice Address - Street 1:274 W 64TH ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-1196
Practice Address - Country:US
Practice Address - Phone:970-667-0446
Practice Address - Fax:970-667-4196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO91471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty