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Contact Information

ANDREW R. MORTENSEN, D.M.D., P.C.
1040 E ELIZABETH ST
SUITE 201
FORT COLLINS, CO80524-3951
 Phone: 970-484-7310
 Fax: 970-484-7711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for ANDREW R MORTENSEN DMD PC · (Female)

NPI Number 1457759177
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2014
Last updated 12/11/2014 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 7476
  • CO License # 9400
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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