Provider Demographics
NPI:1821548330
Name:TAHER DHOON DMD PLLC
Entity Type:Organization
Organization Name:TAHER DHOON DMD PLLC
Other - Org Name:GREELEY DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TAHER
Authorized Official - Middle Name:Q
Authorized Official - Last Name:DHOON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:858-692-3533
Mailing Address - Street 1:1813 61ST AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8059
Mailing Address - Country:US
Mailing Address - Phone:970-352-4242
Mailing Address - Fax:
Practice Address - Street 1:1813 61ST AVE STE 210
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-8059
Practice Address - Country:US
Practice Address - Phone:970-352-4242
Practice Address - Fax:970-352-4246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO202333122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty