Eric Pettine in Fort Collins - General Practice

Eric Pettine - NPI 1043361215

Eric Pettine is a General Practice in Fort Collins, Colorado. Eric Pettine practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eric Pettine is 1043361215. The last update date is 2007-07-08.

Eric Pettine's current location address is 333 W Drake Rd Ste 120, Fort Collins, Colorado. You can contact this provider via phone number 9702236100. The mailing address for Eric Pettine is 333 W Drake Rd Ste 120, Fort Collins, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Pettine
Address 333 W Drake Rd Ste 120, Fort Collins, Colorado
Phone Number 9702236100
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1043361215
Provider Enumeration Date 2007-01-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 333 W Drake Rd Ste 120
City Fort Collins
State Colorado (CO)
Post Code 805262883
Phone Number 9702236100
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3401
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Eric Pettine

What is the unique identifier code issued to Eric Pettine by the Centers for Medicare & Medicaid Services (CMS)?

The Eric Pettine has been assigned the NPI (National Provider Identifier) 1043361215. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Eric Pettine's facilities are situated?

The facilities of Eric Pettine are physically located at the following address: 333 W Drake Rd Ste 120, Fort Collins, CO, 805262883.

What is Eric Pettine's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Eric Pettine is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Eric Pettine receive its 1043361215 assignment from the Centers for Medicare & Medicaid Services?

The Eric Pettine was assigned its 1043361215 by the Centers for Medicare & Medicaid Services on 2007-01-15.

As of what date were the Eric Pettine's details last updated?

The information pertaining to the Eric Pettine, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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