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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, D.M.D., P.C.

NPI Number 1457759177
LBN Legal business name ANDREW R. MORTENSEN, D.M.D., P.C.
Authorized official ANDREW MORTENSEN - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2014
Last updated 12/11/2014 - About 11 years ago
Identifiers
CO License # 7476
CO License # 9400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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