BENDER MEDICAL GROUP INC NPI 1619421351

NPI Information

  • NPI: 1619421351
  • Provider Name: BENDER MEDICAL GROUP, INC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: MIRAMONT FAMILY MEDICINE
  • Address: 313 W DRAKE RD
    FORT COLLINS, CO
    ZIP 80526
  • Phone: (970) 482-8881

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NPI Details

BENDER MEDICAL GROUP, INC is a dental clinic center in Fort Collins, CO. BENDER MEDICAL GROUP, INC NPI is 1619421351. The provider is registered as an organization entity type.
The provider Is Doing Business As Miramont Family Medicine.

The provider's business location address is:

313 W DRAKE RD
FORT COLLINS, CO
ZIP 80526-846
Phone: (970) 482-8881
Fax: (970) 482-9646

The provider's authorized official is Julie M Desaire .
The authorized official title is Chief Business Development Officer and has the following contact phone number (970) 225-5107.

The enumeration date for this NPI number is 8/11/2016 and was last updated on 8/11/2016.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

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: 3/30/2025

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