A COUNTRY DENTIST PLLC NPI 1669977427

NPI Information

  • NPI: 1669977427
  • Provider Name: A COUNTRY DENTIST, PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 107 W 9TH AVE
    FORT MORGAN, CO
    ZIP 80701
  • Phone: (970) 867-2502

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NPI Details

A COUNTRY DENTIST, PLLC is a dental clinic center in Fort Morgan, CO. A COUNTRY DENTIST, PLLC NPI is 1669977427. The provider is registered as an organization entity type.

The provider's business location address is:

107 W 9TH AVE
FORT MORGAN, CO
ZIP 80701-011
Phone: (970) 867-2502
Fax: (970) 867-3795

The provider's authorized official is Pasco W Scarpella .
The authorized official title is Manager and has the following contact phone number (303) 335-8160.

The enumeration date for this NPI number is 3/26/2018 and was last updated on 3/26/2018.

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/CenterDental106313COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132871716MEDICAIDCOLORADO

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: 11/21/2025

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