institution
Pediatric Dentistry Of The Rockies Pllc
Pediatric Dentist in Fort Collins, Colorado
NPI 1144498999

Pediatric Dentistry Of The Rockies Pllc is a Pediatric Dentist based in Fort Collins, CO and is specialized in Pediatric Dentistry. Pediatric Dentistry Of The Rockies Pllc practices in Fort Collins, CO. The NPI Number for Pediatric Dentistry Of The Rockies Pllc is 1144498999 and holds a License No. 9197 (Colorado).

The current practice location address for Pediatric Dentistry Of The Rockies Pllc is 4609 S Timberline Rd, Fort Collins, CO and can be reached out via phone at 970-484-4104 and via fax at 970-484-5245.

Location: 4609 S Timberline Rd, Fort Collins, CO, 80528-3170
institution
Provider Profile Details
NPI Number
1144498999
Provider Name
Pediatric Dentistry Of The Rockies Pllc
Credential
Provider Entity Type
Organization
Address
4609 S Timberline Rd, Fort Collins, CO, 80528-3170
Phone Number
970-484-4104
Fax Number
970-484-5245
Provider Enumeration Date
02/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82906505 05 CO
institution
Provider Business Practice Location Address Details
Address
4609 S Timberline Rd
City
State
Zip
80528-3170
Phone Number
970-484-4104
Fax Number
970-484-5245
person
Provider Business Mailing Address Details
Address
4609 S Timberline Rd
City
State
Zip
80528-3170
Phone Number
970-484-4104
Fax Number
970-484-5245
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
9197 (Colorado)
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.
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