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Contact Information

PEGGY A DERLOSHON, DDS
120 BRISTLECONE DR
FORT COLLINS, CO80524-2031
 Phone: 970-224-5209
 Fax: 970-221-7165
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for PEGGY A DERLOSHON · (Female)

NPI # 1336316579
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/15/2008
Last updated 05/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 6629
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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