Pediatric Dentistry Of The Rockies Pllc in Fort Collins - Pediatric Dentistry

Pediatric Dentistry Of The Rockies Pllc - NPI 1144498999

Pediatric Dentistry Of The Rockies Pllc is a Pediatric Dentistry in Fort Collins, Colorado. Pediatric Dentistry Of The Rockies Pllc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry Of The Rockies Pllc is 1144498999. The last update date is 2018-10-23.

Pediatric Dentistry Of The Rockies Pllc's current location address is 4609 S Timberline Rd, Fort Collins, Colorado. You can contact this provider via phone number 9704844104 and fax number 9704845245. The mailing address for Pediatric Dentistry Of The Rockies Pllc is 4609 S Timberline Rd, Fort Collins, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Dentistry Of The Rockies Pllc
Address 4609 S Timberline Rd, Fort Collins, Colorado
Phone Number 9704844104
Fax Number 9704845245
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Van Tassell Allen Keith
Telephone Number 9704844104

NPI Number Detail

NPI Number 1144498999
Provider Enumeration Date 2008-02-14
Last Updated Date 2018-10-23

Provider Mailing Address Detail

Address 4609 S Timberline Rd
City Fort Collins
State Colorado (CO)
Post Code 805283170
Phone Number 9704844104
Fax Number 9704845245

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 9197
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
82906505 CO --

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FAQs about Pediatric Dentistry Of The Rockies Pllc

What is the unique 10-digit identification code assigned to Pediatric Dentistry Of The Rockies Pllc by the Centers for Medicare & Medicaid Services?

The Pediatric Dentistry Of The Rockies Pllc has been issued the NPI (National Provider Identifier) 1144498999, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Pediatric Dentistry Of The Rockies Pllc's facilities are geographically located?

The facilities of Pediatric Dentistry Of The Rockies Pllc are physically situated at the following location: 4609 S Timberline Rd, Fort Collins, CO, 805283170.

What is Pediatric Dentistry Of The Rockies Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Pediatric Dentistry Of The Rockies Pllc is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.

When was the Pediatric Dentistry Of The Rockies Pllc's 1144498999 issued?

The Pediatric Dentistry Of The Rockies Pllc's 1144498999 was issued on 2008-02-14.

When was the information regarding Pediatric Dentistry Of The Rockies Pllc most recently updated?

The details pertaining to the Pediatric Dentistry Of The Rockies Pllc, including its address, specialty, and other relevant information, were last refreshed on 2018-10-23.

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