Organization · Type 2 NPI

Modern Dental Professionals Co PC

General Practice Dentistry · Colorado Springs, CO

NPI number 1285015669 Active

Practice location

701 Citadel Dr E
Colorado Springs, CO 80909-5302

Call (719) 574-7828 Map

Fax (719) 574-8122

Mailing address

PO Box 25153
Santa Ana, CA 92799-5153

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	105734 (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.

Other general practice dentistry providers in Colorado Springs

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NPI record

NPI: 1285015669
Entity type: Organization (Type 2)
Issued: Jun 11, 2015
Last updated: Jun 11, 2015
Status: Active
Subpart: Yes of Modern Dental Professionals Co PC

Other names

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Bright Now Dental Colorado Springs / Citadel · 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 1285015669

Modern Dental Professionals Co PC's National Provider Identifier is 1285015669, issued on Jun 11, 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 11, 2015.