FORT MOGAN DENTAL LLC NPI 1033650015

NPI Information

FORT MOGAN DENTAL LLC is a general practice dentist in Fort Morgan, 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. FORT MOGAN DENTAL LLC NPI is 1033650015. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

617 WEST PLATTE AVE
AREA A
FORT MORGAN, CO
ZIP 80701-306
Phone: (970) 867-4700
Fax: (970) 867-2128

The provider's authorized official is Taci Cooper .
The authorized official title is Office Manager and has the following contact phone number (719) 383-2083.

The enumeration date for this NPI number is 3/10/2017 and was last updated on 3/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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