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Contact Information

FORT COLLINS MODERN DENTISTRY, LLP
2203 SOUTH COLLEGE AVENUE
SUITE 100
FORT COLLINS, CO80525
 Phone: 970-482-4455
 Fax: 970-482-1804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for FORT COLLINS MODERN DENTISTRY, LLP

NPI # 1013224062
LBN Legal business name FORT COLLINS MODERN DENTISTRY, LLP
Authorized official CHARLES RODGERS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/10/2010
Last updated 09/10/2010 - About 16 years ago
Identifiers n/a
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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