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Fort Collins Kids Dentistry
Pediatric Dentist in Fort Collins, Colorado
NPI 1326494451

Fort Collins Kids Dentistry is a Pediatric Dentist based in Fort Collins, CO and is specialized in Pediatric Dentistry. Fort Collins Kids Dentistry practices in Fort Collins, CO. The NPI Number for Fort Collins Kids Dentistry is 1326494451 and holds a License No. 02786092 (Colorado).

The current practice location address for Fort Collins Kids Dentistry is 1241 Riverside Ave, Fort Collins, CO and can be reached out via phone at 970-632-0306 and via fax at 970-797-2207.

Location: 1241 Riverside Ave, Fort Collins, CO, 80521-1954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326494451
Provider Name
Fort Collins Kids Dentistry
Credential
Provider Entity Type
Organization
Address
1241 Riverside Ave, Fort Collins, CO, 80521-1954
Phone Number
970-632-0306
Fax Number
970-797-2207
Provider Enumeration Date
05/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
41489268 05 CO
13430734 05 CO
90382587 05 CO
institution
Provider Business Practice Location Address Details
Address
1241 Riverside Ave
City
Fort Collins
State
Colorado
Zip
80524-3204
Phone Number
970-632-0306
Fax Number
970-797-2207
person
Provider Business Mailing Address Details
Address
1241 Riverside Ave
City
Fort Collins
State
Colorado
Zip
80524-3204
Phone Number
970-632-0306
Fax Number
970-797-2207
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
20161161840 (Colorado)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
02786092 (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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