Organization · Type 2 NPI

Modern Dental Professionals Colorado PC

General Practice Dentistry · Colorado Springs, CO

NPI number 1083095194 Active

Practice location

7136 N Academy Blvd
Colorado Springs, CO 80920-3185

Call (719) 452-4120 Map

Fax (719) 266-0108

Mailing address

PO Box 25153
Santa Ana, CA 92799-5153

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	105731 (CO)

General Practice Dentistry: 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.

2 other providers at this address

Other general practice dentistry providers in Colorado Springs

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NPI record

NPI: 1083095194
Entity type: Organization (Type 2)
Issued: Jun 15, 2015
Last updated: Jun 15, 2015
Status: Active
Subpart: Yes of Modern Dental Professionals Colorado PC

Other names

<unavail>
Bright Now Dental Colorado Springs/north Academy · doing business as

Authorized official

Dr. Craig A Mellor, DDS
PC Owner
(303) 209-2250

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083095194

Modern Dental Professionals Colorado PC's National Provider Identifier is 1083095194, issued on Jun 15, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 15, 2015.