Organization · Type 2 NPI

College Ave Modern Dental Practice, LLC

Dentist · Fort Collins, CO

NPI number 1205358017 Active

Practice location

3617 S College Ave Unit B
Fort Collins, CO 80525-3009

Fax (888) 790-7062

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X10115 (CO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1205358017

College Ave Modern Dental Practice, LLC's National Provider Identifier is 1205358017, issued on Jul 13, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Collins, CO. The record was last updated on Jul 21, 2022.