POUDRE VALLEY PERIODONTICS & DENTAL IMPLANTS is a periodontics dentist in Fort Collins, CO. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. POUDRE VALLEY PERIODONTICS & DENTAL IMPLANTS NPI is 1376453472. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1029 ROBERTSON ST FORT COLLINS, CO ZIP 80524-926 Phone: (970) 447-3746 Fax: (970) 447-3747
The provider's authorized official is David Clark Johnson . The authorized official title is President/owner and has the following contact phone number (970) 447-3746.
The enumeration date for this NPI number is 9/10/2026 and was last updated on 9/10/2026.
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:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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