Organization · Type 2 NPI

Modern Dental Professionals Co PC

General Practice Dentistry · Fort Collins, CO

NPI number 1356722748 Active

Practice location

3531 S College Ave Unit 110
Fort Collins, CO 80525-2642

Call (970) 498-8706 Map

Fax (970) 223-1621

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 Fort Collins

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NPI record

NPI: 1356722748
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

<unavail>
Bright Now Dental - Fort Collins · 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 1356722748

Modern Dental Professionals Co PC's National Provider Identifier is 1356722748, issued on Jun 11, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Collins, CO. The record was last updated on Jun 11, 2015.