NPI: 1184162513
Provider Name: FOUNTAIN DENTAL PRACTICE, LLC
Doing Business As: FOUNTAIN DENTAL CENTER, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
8085 FOUNTAIN MESA RD
FOUNTAIN, CO
ZIP 80817
Phone: (719) 382-5500
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FOUNTAIN DENTAL PRACTICE, LLC is a general practice dentist in Fountain, CO. The provider is 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. FOUNTAIN DENTAL PRACTICE, LLC NPI is 1184162513. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fountain Dental Center, Llc.
The provider's business location address is:
8085 FOUNTAIN MESA RD
FOUNTAIN, CO
ZIP 80817-591
Phone: (719) 382-5500
Fax: (888) 790-7062
The provider's authorized official is Scott Frederick .
The authorized official title is Owner/doctor and has the following contact phone number (719) 382-5500.
The enumeration date for this NPI number is 2/6/2017 and was last updated on 2/6/2017.