institution
A Country Dentist, Pllc
Dental Clinic/Center in Fort Morgan, Colorado
NPI 1669977427

A Country Dentist, Pllc is a Dental Clinic/Center based in Fort Morgan, CO and is specialized in Dental. A Country Dentist, Pllc practices in Fort Morgan, CO. The NPI Number for A Country Dentist, Pllc is 1669977427 and holds a License No. 106313 (Colorado).

The current practice location address for A Country Dentist, Pllc is 107 W 9Th Ave, Fort Morgan, CO and can be reached out via phone at 970-867-2502 and via fax at 970-867-3795. You can also correspond with A Country Dentist, Pllc through the mailing address at 107 W 9TH AVE, FORT MORGAN, CO - 80701-2011 (mailing address contact number: 970-867-2502).

Location: 107 W 9Th Ave, Fort Morgan, CO, 80701-2011
institution
Provider Profile Details
NPI Number
1669977427
Provider Name
A Country Dentist, Pllc
Credential
Provider Entity Type
Organization
Address
107 W 9Th Ave, Fort Morgan, CO, 80701-2011
Phone Number
970-867-2502
Fax Number
970-867-3795
Provider Enumeration Date
03/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32871716 05 CO
institution
Provider Business Practice Location Address Details
Address
107 W 9Th Ave
City
State
Zip
80701-2011
Phone Number
970-867-2502
Fax Number
970-867-3795
person
Provider Business Mailing Address Details
Address
107 W 9Th Ave
City
State
Zip
80701-2011
Phone Number
970-867-2502
Fax Number
970-867-3795
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
106313 (Colorado)
Definition
Definition to come...
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